Tara L Brodkin, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

30783 Issued in AZ

Practice address

9070 E Desert Cove Dr Ste 102
Scottsdale, AZ 85260-6227

Phone

(480) 860-2322

Fax

(480) 860-2433

NPI assigned

Feb 8, 2006

Last updated

Aug 18, 2017By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kathleen M Norman, M.D.

  dba Paradise Valley Women's Care

  • Specialist
  • Phoenix, AZ
  • NPI 1790957900
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503014400000",
    "number": "1811960024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9070 E DESERT COVE DR STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606227",
            "telephone_number": "480-860-2322",
            "fax_number": "480-860-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 E DESERT COVE DR STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606227",
            "telephone_number": "480-860-2322",
            "fax_number": "480-860-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODKIN",
        "first_name": "TARA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2017-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "30783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jourdan Elizabeth Broadfoot, MD
• Julie Karolyn Broback, DPT
• Bonnie Lynn Brock, MPH, RD, LDN, NMD
• Jennifer Brodie, N.P.
• Michael Jarrett Brodkin, P.A.
• Kyle R Brody, LPC
• Martin Broermann, D.D.S.
• Wayne S Broky, M.D.
• Kimberlee J Brontsema, PA-C
• Amber N Brooks-Gumbert, P.A.-C.

• Obstetrics & Gynecology Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Obstetrics & Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; 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.