Steve Brodsky, SA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

4250 N Marine Dr Ste 236
Chicago, IL 60613-1792

Phone

(773) 404-0160

Fax

(773) 404-9876

NPI assigned

Dec 31, 2007

Last updated

Dec 31, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1790960516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 N MARINE DR STE 236",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131792",
            "telephone_number": "773-404-0160",
            "fax_number": "773-404-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 N MARINE DR STE 236",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131792",
            "telephone_number": "773-404-0160",
            "fax_number": "773-404-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODSKY",
        "first_name": "STEVE",
        "credential": "SA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Brodrick
• Alina Brodskaia, MD
• Asya Brodsky, LCSW
• Leah Elizabeth Brodsky, MD
• Marla Brodsky, RD, LD
• Ann Thomas Brody, L.C.S.W.
• Chad Scott Brody, PHARM D
• Rachel Brody, LCSW
• Victoria A Brody
• Adriana Brodyn, M.A, M.A, L.P.C

• Surgical Physician Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Surgical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.