NPIMap

Individual provider Active NPI

James P. Brodeur, M.D.

  • Rheumatology Physician
  • Mechanicsville, VA
National Provider Identifier
1184620940
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
0101042708 Issued in VA
Practice address
8201 Atlee Rd
Ste B
Mechanicsville, VA 23116-1815
Phone
(804) 730-5222
Fax
(804) 730-5225
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 0101042708 VA Primary

Addresses

Primary practice location

8201 Atlee Rd
Ste B
Mechanicsville, VA 23116-1815

Mailing address

1401 Johnston Willis Dr
Ste 1200
Richmond, VA 23235-4730
Phone (804) 323-1401

Other identifiers 1

IdentifierTypeStateIssuer
5837693MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100304000774 VA Practitioner - RheumatologyPractitioner - Internal Medicine 0244321586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Virginia Commonwealth University, School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arthritis Specialists, LTD.Group PAC ID 8729179064, 5 clinicians

Practice addresses (Care Compare)

8201 Atlee Rd
B
Mechanicsville, VA 23116-1815
Phone (804) 730-5222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
57.5 of 100Reported as individual
Quality
15
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101042708VAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis Specialists, LTD. Rheumatology CurrentSince Apr 28, 2000 Accepting new patients

Locations

8201 Atlee Rd
Ste B
Mechanicsvlle, VA 23116
Phone (804) 730-5222

1401 Johnston Willis Dr
Ste 1200
North Chesterfield, VA 23235
Phone (804) 272-2702

1401 Johnston Willis Dr
#12
North Chesterfield, VA 23235

1051 Johnston Willis Dr
Ste 120
North Chesterfield, VA 23235
Phone (804) 323-1401

Interoperability endpoints

  • Direct secure messaging: jbrodeur@338.securemail.mdnavigatorclinical.com

Organizations & group practices 1

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1184620940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 JOHNSTON WILLIS DR",
            "address_2": "STE 1200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232354730",
            "telephone_number": "804-323-1401",
            "fax_number": "804-323-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 ATLEE RD",
            "address_2": "STE B",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231161815",
            "telephone_number": "804-730-5222",
            "fax_number": "804-730-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODEUR",
        "first_name": "JAMES",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VA",
            "license": "0101042708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5837693",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.