James David Brodell, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

35048150B Issued in OH

Practice address

2614 E Market St
Warren, OH 44483-6204

Phone

(330) 394-8181

Fax

(330) 393-4849

NPI assigned

Aug 10, 2005

Last updated

Mar 30, 2022By 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

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crystal Clinic Orthopaedic Center, LLCGroup PAC ID 6507934015, 41 clinicians

Novacare Rehabilitation of Ohio IncGroup PAC ID 0345159315, shared by 5 NPIs, 76 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Crystal Clinic Orthopaedic Center LLC

  • Special Hospital
  • Akron, OH
  • NPI 1669669917

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• James David Brodell, M.D., Inc.

  • Orthopaedic Surgery Physician
  • Warren, OH
  • NPI 1578720710
  Authorized official Same address or phone
• Crystal Clinic Orthopaedic Center LLC

  dba Crystal Clinic Orthopaedic Center QuickCare Clinic

  • Special Hospital
  • Akron, OH
  • NPI 1811651508

  Orthopaedic Surgery

  NPD
• Outreach Professional Services Inc

  dba St Vincent Medical Group

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1134119829

  Orthopaedic Surgery

  NPD
• Outreach Professional Services, Inc

  dba St Vincent Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Cleveland, OH
  • NPI 1104371640
  NPD

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1861494817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836204",
            "telephone_number": "330-394-8181",
            "fax_number": "330-393-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836204",
            "telephone_number": "330-394-8181",
            "fax_number": "330-393-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODELL",
        "first_name": "JAMES",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35048150B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF WORKERS' COMP",
            "identifier": "34144929700",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0518345",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "directwarrenbrodell@cleveland.ipsmso.com",
            "affiliation": "Y",
            "affiliationName": "Outreach Professional Services Inc",
            "address_1": "2614 E Market St",
            "city": "Warren",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444836204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lelia Bridges
• Amanda L Bright, LISW
• Britton Taylor (North East Ohio Physical Therapy)
• Vanessa Brocco, LSW/P.C.
• Brodell Medical, Inc
• Shayla Nicole Brogdon
• Victoria Brogdon
• Megan Gwyneth Brooker, MD
• Lane Brooks
• Samara Brooks

• Orthopaedic Surgery Physician in Warren, OH
• Providers in Warren, OH by specialty
• Orthopaedic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.