Individual provider Active NPI

Dennis Eugene Brodsky, PA-C

  • Physician Assistant
  • Oceanside, CA
National Provider Identifier
1235649039
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2125 S El Camino Real Ste 103
Oceanside, CA 92054-6260
Phone
(760) 610-0522
Fax
(760) 610-0523
NPI assigned
Oct 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X CA Primary

Addresses

Primary practice location

2125 S El Camino Real Ste 103
Oceanside, CA 92054-6260

Mailing address

2015 Woodland Heights GLN
Escondido, CA 92026-5002
Phone (760) 520-3417

Other practice location 1

15725 Pomerado Rd Ste 201
Poway, CA 92064-2058
Phone (619) 825-8511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230516002715 CA Practitioner - Physician Assistant 1759747892 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1235649039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 WOODLAND HEIGHTS GLN",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920265002",
            "telephone_number": "760-520-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 S EL CAMINO REAL STE 103",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546260",
            "telephone_number": "760-610-0522",
            "fax_number": "760-610-0523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15725 Pomerado Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Poway",
            "state": "CA",
            "postal_code": "920642058",
            "country_code": "US",
            "telephone_number": "619-825-8511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRODSKY",
        "first_name": "DENNIS",
        "middle_name": "EUGENE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-06",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.