Active NPI
Marc Eric Brodsky, MD
- Hospice and Palliative Medicine (Family Medicine) Physician
- Greenwich, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- 046965
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081114000337 | CT | Practitioner - Pain Management | 0547320921 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- 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 Inc
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 046965 | CT | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stamford Health Medical Group Inc | Current | 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
- mbrodsky24425@stamfordhealth.direct-ci.com
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.