Michael S. Brodherson

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

120531 Issued in NY

Legal business name

MICHAEL S. BRODHERSON

Practice address

4 E 76TH St
New York, NY 10021-2676

Phone

(212) 794-2749

Fax

(212) 717-6130

NPI assigned

Apr 1, 2016

Last updated

Aug 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Brodherson Steven Brodherson, MD

Title

Surgeon

Phone

(917) 696-5912

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1588027056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 E 76TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212676",
            "telephone_number": "212-794-2749",
            "fax_number": "212-717-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E 76TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212676",
            "telephone_number": "212-794-2749",
            "fax_number": "212-717-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S. BRODHERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "BRODHERSON",
        "authorized_official_first_name": "MICHAEL BRODHERSON",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "917-696-5912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "120531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael R. Gray MD PC
• Michael R. Leonard, MD, PC
• Michael R. Szabatura DDS, PC
• Michael Robert Cohn
• Michael S Turano, MD, PC
• Michael Schloss MD PC
• Michael Schwalberg, PH.D., Psychologist, PLLC
• Michael Sendrow Psychoanalysis PLLC
• Michael Silane MD PLLC
• Michael T. Levy, M.D., P.C.

• Urology Physician in New York, NY
• Providers in New York, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.