Susan Brokaw, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

57617 Issued in OH

Practice address

5340 Miami Rd
Cincinnati, OH 45243-3920

Phone

(513) 702-6877

NPI assigned

Apr 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Cincinnati Lab Med Asoc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Hillsboro, OH
  • NPI 1558397828
  NPD (past)
• Professional Radiology Inc.

  • Diagnostic Radiology Physician
  • Blue Ash, OH
  • NPI 1043348014
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700909322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 MIAMI RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452433920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 MIAMI RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452433920",
            "telephone_number": "513-702-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROKAW",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "57617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa A Broerman, LISW
• Betsy A Brogan, D.P.M
• Sarah Brogan, PHARMD
• Alyssa Marie Brogden, DO
• Kristen Marie Brokamp, OTR/L
• Matthew Bromwich, M.D.
• Dionysus Alexis Bronaugh
• Kelley Bronsink, MS CCC-SLP
• Fred James Bronson Sr., DDS
• Mark Edward Bronson, DDS

• Anatomic Pathology & Clinical Pathology Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Anatomic Pathology & Clinical Pathology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.