Individual provider Active NPI

Marc Eric Brodsky, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Greenwich, CT
National Provider Identifier
1295769685
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
046965 Issued in CT
Practice address
75 Holly Hill LN Ste 205
Greenwich, CT 06830-2918
Phone
(203) 276-4777
Fax
(203) 276-4778
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 046965 CT
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 046965 CT Primary

Addresses

Primary practice location

75 Holly Hill LN Ste 205
Greenwich, CT 06830-2918

Mailing address

75 Holly Hill LN Ste 205
Greenwich, CT 06830-2918
Phone (203) 276-4777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20081114000337 CT Practitioner - Pain ManagementPractitioner - Family PracticePractitioner - Other (Physician)Practitioner - Hospice/Palliative Care 0547320921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Hospice/Palliative Care
Education
Hahneman Medical College of the Pacific, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stamford Health Medical Group IncGroup PAC ID 6901099746, 442 clinicians

Practice addresses (Care Compare)

5 High Ridge Park
Suite 103
Stamford, CT 06905-1326
Phone (203) 276-4644

75 Holly Hill LN
Suite 205
Greenwich, CT 06830-2918
Phone (203) 276-2516

Merit-based Incentive Payment System (MIPS)

Final score
86.6 of 100Reported as group
Quality
84.86
Promoting interoperability
99
Improvement activities
40
Cost
71.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046965CTMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stamford Health Medical Group Inc CurrentSince Apr 1, 2015 Accepting new patients

Locations

75 Holly Hill Ln
Ste 205
Greenwich, CT 06830
Phone (203) 276-2516

75 Holly Hill Ln
Ste 202
Greenwich, CT 06830
Phone (203) 276-4255

1 Blachley Rd
Stamford, CT 06902
Phone (203) 705-0750

5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644

32 Strawberry Hill Ct
Fl 1
Stamford, CT 06902

32 Strawberry Hill Ct
Stamford, CT 06902
Phone (203) 276-2000

1 Blachley Rd
Ste 2
Stamford, CT 06902
Phone (203) 276-2277

Interoperability endpoints

  • Direct secure messaging: mbrodsky24425@stamfordhealth.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1295769685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HOLLY HILL LN STE 205",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068302918",
            "telephone_number": "203-276-4777",
            "fax_number": "203-276-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HOLLY HILL LN STE 205",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068302918",
            "telephone_number": "203-276-4777",
            "fax_number": "203-276-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODSKY",
        "first_name": "MARC",
        "middle_name": "ERIC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CT",
            "license": "046965",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "CT",
            "license": "046965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.