Merrick Adam Brodsky, MD

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

A178273 Issued in CA

Practice address

3828 Schaufele Ave Ste 300
Long Beach, CA 90808-1793

Phone

(562) 997-1144

Fax

(562) 997-9881

NPI assigned

Apr 17, 2017

Last updated

Apr 7, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, OH, CA3 enrollments

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 3

Specialty

Dermatology

Education

Un of California, Irvine, College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newport Beach Surgical and Medical Group IncGroup PAC ID 3577784750, 11 clinicians

Malcolm Ke MD a Professional CorporationGroup PAC ID 6901934009, 6 clinicians

Dayton Skin Surgery Center IncGroup PAC ID 2365455276, 8 clinicians

J Robert West MD IncGroup PAC ID 8729990973, 141 clinicians

Parham Tabibian MD IncGroup PAC ID 9739284704, 9 clinicians

Golden State Dermatology Associates, Inc.Group PAC ID 1052418175, 118 clinicians

W Dermatology West Covina IncGroup PAC ID 0042703910, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: merrick.brodskymd.p1@direct.daytonskin.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Golden State Dermatology Associates Inc.

  • Dermatology Physician
  • Walnut Creek, CA
  • NPI 1700860871
  Medicare reassignment Care Compare group NPD
• J Robert West, M.D., Inc

  dba Southern California Dermatology

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1932154788
  Medicare reassignment Care Compare group NPD
• Malcolm Ke, M.D., a Professional Corporation

  dba Clear Dermatology

  • Dermatology Physician
  • Torrance, CA
  • NPI 1225350069
  Medicare reassignment Care Compare group NPD
• Newport Beach Surgical and Medical Group Inc

  • Otolaryngology Physician
  • Newport Beach, CA
  • NPI 1477953511

  Dermatology

  Medicare reassignment Care Compare group NPD
• Parham Tabibian MD Inc

  • Dermatology Physician
  • Los Alamitos, CA
  • NPI 1427114032
  Medicare reassignment Care Compare group NPD
• W Dermatology West Covina Inc.

  • Dermatology Physician
  • West Covina, CA
  • NPI 1053282103
  Medicare reassignment Care Compare group NPD
• Dayton Skin Surgery Center Inc

  • MOHS-Micrographic Surgery Physician
  • Dayton, OH
  • NPI 1710932454
  Medicare reassignment Care Compare group NPD
• Chesnut MD

  • Dermatology Physician
  • Spokane, WA
  • NPI 1437798568
  Medicare reassignment NPD
• Golden State Dermatology Associates, Inc.

  • Ambulatory Surgical Clinic/Center
  • Fresno, CA
  • NPI 1235738576
  NPD
• El Segundo Dermatology, Inc.

  dba Gardena Dermatology

  • Specialist
  • El Segundo, CA
  • NPI 1619351707
  NPD (past)
• J. Robert West, M.D., Inc

  dba West Dermatology

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1114567997
  NPD (past)

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1609300649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 PARK CENTRAL DR STE 1210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511522",
            "telephone_number": "702-360-2763",
            "fax_number": "949-783-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 SCHAUFELE AVE STE 300",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081793",
            "telephone_number": "562-997-1144",
            "fax_number": "562-997-9881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1721 E 19th Ave Ste 520",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802181243",
            "country_code": "US",
            "telephone_number": "303-839-6741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 S Cowley St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992021332",
            "country_code": "US",
            "telephone_number": "509-252-1299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRODSKY",
        "first_name": "MERRICK",
        "middle_name": "ADAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-17",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A178273",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "61263332",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WA",
            "license": "61263332",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "WA",
            "license": "61263332",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaishawn Lenna Brock
• Michelle Brock, RN
• Zoe Brockway
• Broderick Chiropractic Corporation (Life Choice Chiropractic)
• Lindsay Margret Weber Broderick, D.C.
• Hayden Brogdon
• Brook & Mann
• Myles Isaac Brookman, MD
• Alan Brooks, M.D.
• Douglas Robert Brooks, D.D.S.

• MOHS-Micrographic Surgery Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• MOHS-Micrographic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.