Kathleen E Brodt, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

275937 Issued in MA

Practice address

345 Court St
Suite 201
Plymouth, MA 02360-4329

Phone

(508) 746-5300

Fax

(508) 747-2001

NPI assigned

Apr 30, 2008

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skincare Physicians IncGroup PAC ID 6800791450, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Skincare Physicians Inc

  • Dermatology Physician
  • Chestnut Hill, MA
  • NPI 1508893843
  Medicare reassignment Care Compare group NPD
• Plymouth Dermatology Associates, PC

  • Dermatology Physician
  • Plymouth, MA
  • NPI 1144362179
  Medicare reassignment NPD
• Plymouth Dermatology Specialists PLLC

  • Dermatology Physician
  • Plymouth, MA
  • NPI 1417741414
  NPD
• Skincare Physicians St Elizabeths Inc

  • Dermatology Physician
  • Chestnut Hill, MA
  • NPI 1639499676
  NPD (past)
• Skincarephysicians

  • Dermatology Physician
  • Chestnut Hill, MA
  • NPI 1699005173
  NPD (past)

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1821264847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 COURT ST",
            "address_2": "SUITE 201",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604329",
            "telephone_number": "508-746-5300",
            "fax_number": "508-747-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 COURT ST",
            "address_2": "SUITE 201",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604329",
            "telephone_number": "508-746-5300",
            "fax_number": "508-747-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODT",
        "first_name": "KATHLEEN",
        "middle_name": "E",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "275937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Brennan
• Shana Maria Brennan, FNP-BC
• Gerald Brickell
• Bridge Behavior Services, LLC
• Bright Solutions
• Ryan Patrick Brogan, NP
• Joel Jacole Brooks
• Kendra Broussard, WHNP, AGPCNP, RN
• Casey Brown, PA-C
• Ellen H Brown, MS, RN, APRN,BC,

• Family Nurse Practitioner in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.