Individual provider Active NPI

Alexander Brodsky, MD

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1396781332
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
190517 Issued in NY
Practice address
8622 Bay Pkwy
Brooklyn, NY 11214-4168
Phone
(718) 333-2121
Fax
(718) 333-9585
NPI assigned
Jun 20, 2006
Last updated
Mar 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 190517 NY Primary

Addresses

Primary practice location

8622 Bay Pkwy
Brooklyn, NY 11214-4168

Mailing address

8622 Bay Pkwy
Brooklyn, NY 11214-4168
Phone (718) 333-2121

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110218000412 NY Practitioner - Gastroenterology 8224130190 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
190517NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of Brooklyn PLLC Gastroenterology CurrentSince Nov 11, 2023 Accepting new patients
Gastroenterology Associates of Bayridge PLLC PastSince Mar 3, 2024 Accepting new patients

Locations

8622 Bay Pkwy
Ste 1
Brooklyn, NY 11214
Phone (718) 333-2121

902 Quentin Rd
Fl 7
Brooklyn, NY 11223
Phone (718) 336-3900

902 Quentin Rd
Ste 701
Brooklyn, NY 11223
Phone (718) 336-3900

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEGGCA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1396781332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8622 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144168",
            "telephone_number": "718-333-2121",
            "fax_number": "718-333-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8622 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144168",
            "telephone_number": "718-333-2121",
            "fax_number": "718-333-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODSKY",
        "first_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "190517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.