Joely Brodit

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12125 Issued in NC

Practice address

849 Waterworks Rd
Winston Salem, NC 27101-1956

Phone

(336) 595-2166

NPI assigned

Sep 10, 2018

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1447733191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2291 HARTFIELD CIR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 WATERWORKS RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271011956",
            "telephone_number": "336-595-2166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "849 Waterworks Rd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271011956",
            "country_code": "US",
            "telephone_number": "336-595-2166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRODIT",
        "first_name": "JOELY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "12125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Funch Brock, MD
• Rhonda K Brock, BSN, RN, WOC, CFM
• Charles H. Brockmann, PT
• Justin Brockmann
• Steven Canon Brodar, MD
• Jeffrey Arnold Brody, MD
• Fred G Bromberg, M.D.
• Bronson Chiropractic & Acupuncture Clinic of the Triad, PLLC
• Amy Alice Bronson, D.C.
• Brookdale Senior Living Communities, Inc.

• All providers in Winston Salem, NC
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.