Active NPI
Craig S Brotsky, OD
- Optometrist
- Milford, MA
National Provider Identifier
1831170596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3338
- Practice address
- 5 Water St
Milford, MA 01757-4105 - Phone
- (508) 381-5600
- Fax
- (508) 381-5610
- NPI assigned
- Nov 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3338 | MA | Primary |
Addresses
Primary practice location
5 Water St
Milford, MA 01757-4105
Mailing address
5 Water St
Milford, MA 01757-4105
Phone (508) 381-5600
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042472266 | Other | TRICARE CHAMPUS | |
| 4590569 | Other | AETNA US HEALTHCARE | |
| 787403 | Other | MVP HEALTH CARE | |
| 042472266 | Other | PRIVATE HEALTHCARE SYSTEM | |
| 2213091 | Other | FIRST HEALTH | |
| 61208 | Other | FALLON COMMUNITY HEALTH P | |
| W15740 | Other | BLUE CARE ELECT | |
| 042472266 | Other | ONE HEALTH PLAN | |
| AA2836 | Other | HARVARD PILGRIM HEALTHCAR | |
| 042472266 | Other | HEALTHCARE VALUE MANAGEME | |
| 042472266 | Other | THREE RIVERS | |
| 2649494 | Other | CIGNA PAL ID | |
| 60436 | Other | CHILDRENS MEDICAL SECURIT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3338 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1831170596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 WATER ST",
"city": "MILFORD",
"state": "MA",
"postal_code": "017574105",
"telephone_number": "508-381-5600",
"fax_number": "508-381-5610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 WATER ST",
"city": "MILFORD",
"state": "MA",
"postal_code": "017574105",
"telephone_number": "508-381-5600",
"fax_number": "508-381-5610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROTSKY",
"first_name": "CRAIG",
"middle_name": "S",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "3338",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE CHAMPUS",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "4590569",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTH CARE",
"identifier": "787403",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2213091",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH P",
"identifier": "61208",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE ELECT",
"identifier": "W15740",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH PLAN",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "AA2836",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE VALUE MANAGEME",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PAL ID",
"identifier": "2649494",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILDRENS MEDICAL SECURIT",
"identifier": "60436",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Milford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.