Individual provider Active NPI

Bari-Sue Brodsky, MD

  • Family Medicine Physician
  • Arlington, MA
National Provider Identifier
1467550285
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
80150 Issued in MA
Practice address
11 Water St
Suite 1a
Arlington, MA 02476-4812
Phone
(781) 648-9700
Fax
(781) 648-0234
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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 80150 MA Primary

Addresses

Primary practice location

11 Water St
Suite 1a
Arlington, MA 02476-4812

Mailing address

11 Water St
Suite 1a
Arlington, MA 02476-4812
Phone (781) 648-9700

Other identifiers 8

IdentifierTypeStateIssuer
3132331MedicaidMA
5107980OtherMACIGNA
989704OtherMANETWORK HEALTH
J30937OtherMABCBS
24941OtherMAFALLON
70655OtherMAHARVARD PILGRIM HEALTH
080150OtherMATUFTS HEALTH PLAN
4564201OtherMAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050708000756 MA Practitioner - Family Practice 0042246373 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Pennsylvania, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Community Health IncGroup PAC ID 4880666452, 38 clinicians

Practice addresses (Care Compare)

195 Canal St
Malden, MA 02148-6701
Phone (781) 338-0500

47 Congress St
Salem, MA 01970-7308
Phone (978) 744-8388

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Community Health, Inc CurrentSince Aug 5, 2018 Accepting new patients
Cambridge Public Health Commission CurrentSince Oct 25, 1994 Accepting new patients
Cambridge Public Health Commission Current Accepting new patients
Davis Square Family Practice Family Medicine Past Accepting new patients
Mount Auburn Professional Services Inc Family Medicine Past Accepting new patients

Locations

11 Water St
Ste 1A
Arlington, MA 02476
Phone (781) 648-9700

205 Western Ave
Cambridge, MA 02139
Phone (617) 498-1109

391 Broadway
Ste 204
Everett, MA 02149
Phone (617) 387-0473

103 Garland St
Everett, MA 02149
Phone (617) 381-7150

100 Elm St
Everett, MA 02149
Phone (617) 394-2490

195 Canal St
Malden, MA 02148
Phone (781) 338-0055

350 Main St
Ste 31
Malden, MA 02148
Phone (781) 397-6583

89 Foster St
Peabody, MA 01960
Phone (978) 532-4903

454 Broadway
Revere, MA 02151
Phone (617) 389-4666

47 Congress St
Salem, MA 01970
Phone (978) 744-8388

27 Congress St
Ste 513
Salem, MA 01970
Phone (978) 825-1175

Interoperability endpoints

  • Direct secure messaging: bbrodsky2092@direct.challiance.masshiway.net
  • Direct secure messaging: bbrodsky18694@direct.ctc.masshiway.net

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1467550285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WATER ST",
            "address_2": "SUITE 1A",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764812",
            "telephone_number": "781-648-9700",
            "fax_number": "781-648-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WATER ST",
            "address_2": "SUITE 1A",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764812",
            "telephone_number": "781-648-9700",
            "fax_number": "781-648-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODSKY",
        "first_name": "BARI-SUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "80150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3132331",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5107980",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "989704",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J30937",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "24941",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "70655",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "080150",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4564201",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

Verify at the official NPI Registry.