Individual provider Active NPI

Valerie A Brodsky, D.O.

  • Internal Medicine Physician
  • Tempe, AZ
National Provider Identifier
1720049117
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4258 Issued in AZ
Practice address
451 E University Dr
Tempe, AZ 85281-2000
Phone
(480) 965-3346
Fax
(480) 965-8914
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4258 AZ Primary

Addresses

Primary practice location

451 E University Dr
Tempe, AZ 85281-2000

Mailing address

451 E University Dr
Tempe, AZ 85281-2000
Phone (480) 965-3346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20051104000573 AZ Practitioner - Internal Medicine 6204824691 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4258AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Total Medical Care, LLC PastSince Nov 24, 2024 Accepting new patients
Illiana Surgery and Medical Center Past Accepting new patients
Banner Sun City Medical Group Past Accepting new patients
Illiana Surgery & Medical Center, LLC Past Accepting new patients
Banner Urgent Care - Surprise Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1720049117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 E UNIVERSITY DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812000",
            "telephone_number": "480-965-3346",
            "fax_number": "480-965-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 E UNIVERSITY DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812000",
            "telephone_number": "480-965-3346",
            "fax_number": "480-965-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODSKY",
        "first_name": "VALERIE",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "4258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.