Active NPI
Karen F. Brodman, M.D., PLLC
- Gynecology Physician
- New York, NY
National Provider Identifier
1194263657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 154126
- Legal business name
- KAREN F. BRODMAN, M.D., PLLC
- Practice address
- 620 Columbus Ave Ste 2
New York, NY 10024-1459 - Phone
- (212) 580-3866
- Fax
- (212) 580-3867
- NPI assigned
- Feb 5, 2017
- Last updated
- Jan 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen F. Brodman, M.D.
- Title
- Owner
- Phone
- (212) 580-3866
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 154126 | NY | Primary |
Addresses
Primary practice location
620 Columbus Ave Ste 2
New York, NY 10024-1459
Mailing address
620 Columbus Ave Ste 2
New York, NY 10024-1459
Phone (212) 580-3866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gynecology Physician
- New York, NY
- NPI 1427167139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641168000000",
"number": "1194263657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 COLUMBUS AVE STE 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100241459",
"telephone_number": "212-580-3866",
"fax_number": "212-580-3867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 COLUMBUS AVE STE 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100241459",
"telephone_number": "212-580-3866",
"fax_number": "212-580-3867"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAREN F. BRODMAN, M.D., PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-05",
"last_updated": "2022-01-03",
"certification_date": "2022-01-03",
"status": "A",
"authorized_official_last_name": "BRODMAN",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-580-3866",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NY",
"license": "154126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.