Individual provider Active NPI

Hal Marc Brodsky, M.D.

  • Family Medicine Physician
  • Gainesville, FL
National Provider Identifier
1467411652
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME48768 Issued in FL
Practice address
6900 NW 9TH Blvd
Gainesville, FL 32605-4251
Phone
(352) 333-6680
Fax
(352) 331-4006
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME48768 FL Primary

Addresses

Primary practice location

6900 NW 9TH Blvd
Gainesville, FL 32605-4251

Mailing address

6900 NW 9TH Blvd
Gainesville, FL 32605-4251
Phone (352) 333-6680

Other identifiers 1

IdentifierTypeStateIssuer
63876500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090610000370 FL Practitioner - Family Practice 4183774318 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME48768FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gainesville Physicians LLC Family Medicine CurrentSince Apr 1, 2009 Accepting new patients
Hospital Internal Medicine PA CurrentSince Apr 1, 2018 Accepting new patients
Gainesville Family Physicians P a Family Medicine Past Accepting new patients

Locations

6900 NW 9th Blvd
Gainesville, FL 32605
Phone (352) 333-6680

6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180

6900 NW 9th Blvd
Ste B
Gainesville, FL 32605
Phone (352) 331-2444

Organizations & group practices 3

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250035200000",
    "number": "1467411652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 NW 9TH BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054251",
            "telephone_number": "352-333-6680",
            "fax_number": "352-331-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 NW 9TH BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054251",
            "telephone_number": "352-333-6680",
            "fax_number": "352-331-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODSKY",
        "first_name": "HAL",
        "middle_name": "MARC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2009-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME48768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63876500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.