Active NPI
Brian Chodoroff, M.D.
- Physical Medicine & Rehabilitation Physician
- Ann Arbor, MI
National Provider Identifier
1457492365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 4301047013
- Practice address
- 3319 Timberwood LN
Ann Arbor, MI 48103 - Phone
- (734) 646-7570
- NPI assigned
- Feb 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 4301047013 | MI | Primary |
Addresses
Primary practice location
3319 Timberwood LN
Ann Arbor, MI 48103
Mailing address
3319 Timberwood LN
Ann Arbor, MI 48103
Phone (734) 646-7570
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20008571 | Other | RAILROAD MEDICARE | |
| BC047013 | Other | BCBS | |
| 101419 | Other | CARE CHOICES | |
| C1565 | Other | MCARE | |
| 104157508 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301047013 | MI | MD | Physical Medicine & Rehabilitation Physician |
Interoperability endpoints
- bchodoroff461953@direct.hfhs.org
- bchodoroff40696@direct.trinity-health.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683417600000",
"number": "1457492365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3319 TIMBERWOOD LN",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48103",
"telephone_number": "734-646-7570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3319 TIMBERWOOD LN",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48103",
"telephone_number": "734-646-7570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHODOROFF",
"first_name": "BRIAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2023-05-07",
"certification_date": "2023-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": "4301047013",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "20008571",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "BC047013",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES",
"identifier": "101419",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "C1565",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104157508",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.