Organization Active NPI

Karen F. Brodman, M.D., PLLC

  • Gynecology Physician
  • New York, NY
National Provider Identifier
1194263657
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
154126 Issued in NY
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Authorized official

Name
Karen F. Brodman, M.D.NPI 1427167139
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20170419000665 NY Part B Supplier - Clinic/Group Practice 2163708504 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Practitioners & 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.

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": []
}

Other providers in New York, NY

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.

Verify at the official NPI Registry.