Individual provider Active NPI

Burton S Brodsky, MD

  • Obstetrics & Gynecology Physician
  • Sylvania, OH
National Provider Identifier
1164412078
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35.126642 Issued in OH
Practice address
5308 Harroun Rd Ste 175
Sylvania, OH 43560-2190
Phone
(419) 824-5608
Fax
(419) 882-3686
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301064721 MI
Obstetrics & Gynecology Physician 207V00000X 35.126642 OH Primary

Addresses

Primary practice location

5308 Harroun Rd Ste 175
Sylvania, OH 43560-2190

Mailing address

18000 W 9 Mile Rd Ste 200
Southfield, MI 48075-4020
Phone (248) 336-4000

Other practice location 1

29829 Telegraph Rd
Southfield, MI 48034-1330
Phone (248) 336-4000

Other identifiers 1

IdentifierTypeStateIssuer
0151288MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bbrodsky13368@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100205000076 MI Practitioner - Obstetrics/Gynecology 3971574575 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exclusive Physicians PLLCGroup PAC ID 9335279942, 20 clinicians

Practice addresses (Care Compare)

29829 Telegraph Rd
Southfield, MI 48034-1376
Phone (248) 336-4000

29829 Telegraph Rd
Southfield, MI 48034-7656
Phone (248) 336-4000

911 E 9 Mile Rd
Ferndale, MI 48220-1934
Phone (248) 336-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301064721MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Exclusive Physicians PLLC CurrentSince Apr 30, 2024 Accepting new patients
United Medical Surgical Specialists PLLC CurrentSince Jan 21, 2026 Accepting new patients
Botsford General Hospital Past Accepting new patients

Locations

3051 Momentum Pl
Chicago, IL 60689

911 E 9 Mile Rd
Ferndale, MI 48220
Phone (248) 543-2229

3499 S Linden Rd
Ste 2
Flint, MI 48507
Phone (810) 820-8121

26300 Woodward Ave
Royal Oak, MI 48067
Phone (248) 546-2110

29829 Telegraph Rd
Southfield, MI 48034
Phone (248) 352-4263

29829 Telegraph Rd
Ste 202
Southfield, MI 48034
Phone (248) 208-9411

29829 Telegraph Rd
Ste 200
Southfield, MI 48034
Phone (248) 353-3500

29829 Telegraph Rd
Ste 203
Southfield, MI 48034
Phone (248) 304-0786

18000 W 9 Mile Rd
Ste 200
Southfield, MI 48075

29829 Telegraph Rd
Ste L103
Southfield, MI 48034
Phone (248) 352-9525

Interoperability endpoints

  • Direct secure messaging: burton.brodsky.1@2183.direct.athenahealth.com
  • Direct secure messaging: burton.brodsky.1@33060.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1164412078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 W 9 MILE RD STE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754020",
            "telephone_number": "248-336-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 HARROUN RD STE 175",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602190",
            "telephone_number": "419-824-5608",
            "fax_number": "419-882-3686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29829 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480341330",
            "country_code": "US",
            "telephone_number": "248-336-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRODSKY",
        "first_name": "BURTON",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301064721",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.126642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0151288",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbrodsky13368@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.