Richard Rory Brodman, M.D.
Individual provider Active NPI Rheumatology Physician · North Plainfield, NJ
NPI 1831260702 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831260702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rheumatology Physician 207RR0500X
- License
- 25MA03463600 (NJ)
- Practice address
- 345 Somerset St
North Plainfield, NJ 07060-4774 - Phone
- (908) 561-7440
- Fax
- (908) 753-9166
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 25MA03463600 | NJ | Yes |
Addresses
Primary practice location
345 Somerset St
North Plainfield, NJ 07060-4774
Mailing address
345 Somerset St
North Plainfield, NJ 07060-4774
Phone (908) 561-7440
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3094804 | Medicaid | NJ |
Other providers in North Plainfield, NJ
- Robert B Beim
- Maria Justine Birotte Sanchez
- Monica Blissett
- Borough of North Plainfield
- Brewing Health LLC
- Alan Peter Brun
- Jeffrey Brutus
- Enid Fidelity Burton
- Angela Rose Campbell-Osbourne
- Carepoint Family Health & Primary Care LLC
All providers in North Plainfield, NJ · Rheumatology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.