Active NPI
Richard E Brodsky, MD
- Emergency Medicine Physician
- Anchorage, AK
National Provider Identifier
1891728101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 1586
- Practice address
- 4315 Diplomacy Dr
Attn: Emergency Department
Anchorage, AK 99508-5926 - Phone
- (907) 729-1713
- Fax
- (907) 729-1711
- NPI assigned
- Jul 9, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 1586 | AK | Primary |
Addresses
Primary practice location
4315 Diplomacy Dr
Attn: Emergency Department
Anchorage, AK 99508-5926
Mailing address
4315 Diplomacy Dr
Attn: Emergency Department
Anchorage, AK 99508-5926
Phone (907) 729-1713
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD0685 | Medicaid | AK |
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222300800000",
"number": "1891728101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4315 DIPLOMACY DR",
"address_2": "ATTN: EMERGENCY DEPARTMENT",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085926",
"telephone_number": "907-729-1713",
"fax_number": "907-729-1711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4315 DIPLOMACY DR",
"address_2": "ATTN: EMERGENCY DEPARTMENT",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085926",
"telephone_number": "907-729-1713",
"fax_number": "907-729-1711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODSKY",
"first_name": "RICHARD",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-09",
"last_updated": "2008-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AK",
"license": "1586",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD0685",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.