Deborah A Brodzik, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

002736 Issued in KY

Practice address

4121 Dutchmans Lane
Suite 515 Suburban Medical Plaza III
Louisville, KY 40207

Phone

(502) 895-2440

Fax

(502) 897-2311

NPI assigned

Aug 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790794691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 DUTCHMANS LANE",
            "address_2": "SUITE 515 SUBURBAN MEDICAL PLAZA III",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-895-2440",
            "fax_number": "502-897-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 DUTCHMANS LANE",
            "address_2": "SUITE 515 SUBURBAN MEDICAL PLAZA III",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-895-2440",
            "fax_number": "502-897-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODZIK",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "002736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000039518",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5060594",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Kay Broderick, APRN, FNP-C
• Carla Marie Broderick, APRN
• Susan S Broderick
• Samantha Brodsky, RPH
• Christopher Brody, LMFT
• Charles M Brohm, MD
• Gary Bromley
• Jason N. Bronfman, M.D.
• Sharon Brooke
• Brooks Family Medical LLC

• Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapist in Kentucky

• 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.