Alan H. Brodine, DMD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

037083 Issued in NY

Practice address

220 Linden Oaks Ste 340
Rochester, NY 14625-2839

Phone

(585) 248-8580

Fax

(585) 248-8643

NPI assigned

Feb 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386771822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 KNOLLWOOD DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183514",
            "telephone_number": "585-383-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 LINDEN OAKS STE 340",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252839",
            "telephone_number": "585-248-8580",
            "fax_number": "585-248-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODINE",
        "first_name": "ALAN",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "037083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan D Broder, M.D.
• Brittany Broderick, LMHC, NCC
• Briana Brodeur
• Helene F. Brodeur, NP
• Hugh M Brodie, MD
• Brian Ashford Brodine, DDS
• Davya S. Brody, NP-BC, CNM
• Alexander Broekhuijse
• Karen Laine Brogan, MA, LCSW-R
• Nicholas Robert Brogcinski, PHARMD

• Prosthodontics in Rochester, NY
• Providers in Rochester, NY by specialty
• Prosthodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.