Active NPI
Jeffrey Brodovsky, DO
- Neuromusculoskeletal Medicine & OMM Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 20A16385
- Practice address
- 2800 L St Ste 500
Sacramento, CA 95816-5616 - Phone
- (916) 454-6850
- Fax
- (916) 454-6852
- NPI assigned
- Mar 21, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 20A16385 | CA | |
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 20A16385 | CA | Primary |
Addresses
Primary practice location
2800 L St Ste 500
Sacramento, CA 95816-5616
Mailing address
PO Box 255228
Sacramento, CA 95865-5228
Phone (916) 454-6850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1020 29TH St
Sacramento, CA 95816-5125
2800 L St
Sacramento, CA 95816-5616
815 Court St
Jackson, CA 95642-2154
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16385 | CA | MD | Mental Health Counselor |
| 20A16385 | CA | MD | Neuromusculoskeletal Medicine & OMM Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Family Medicine | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients |
Locations
2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731
815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
10470 Old Placerville Rd
Ste 100
Sacramento, CA 95827
1020 29th St
Ste 680
Sacramento, CA 95816
Phone (916) 453-3300
2750 Gateway Oaks Dr
Ste 150
Sacramento, CA 95833
Phone (916) 887-7398
1201 Alhambra Blvd
Ste 300
Sacramento, CA 95816
Phone (916) 451-4400
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
Interoperability endpoints
- jbrodovsky406251@hisp.ehr.sutterhealth.org
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.
-
dba Sutter Gould Medical Foundation
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
Family Medicine
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
dba Sutter North Surgery Center
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1699192286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 255228",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958655228",
"telephone_number": "916-454-6850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 L ST STE 500",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165616",
"telephone_number": "916-454-6850",
"fax_number": "916-454-6852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODOVSKY",
"first_name": "JEFFREY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-21",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "CA",
"license": "20A16385",
"primary": false
},
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "CA",
"license": "20A16385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.