Richard Alan Brodie, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

52540 Issued in MA

Practice address

1180 Beacon St
Brookline, MA 02446-3885

Phone

(617) 734-2433

Fax

(617) 566-6586

NPI assigned

May 27, 2005

Last updated

Jul 5, 2019By 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rbrodie255101@direct.bilh.masshiway.net

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.

• New Horizons Medical, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Framingham, MA
  • NPI 1487983342

  Internal Medicine

  NPD

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1912900473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SOUTH ST",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673631",
            "telephone_number": "617-327-5454",
            "fax_number": "617-566-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463885",
            "telephone_number": "617-734-2433",
            "fax_number": "617-566-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODIE",
        "first_name": "RICHARD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "52540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6176461",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brigham and Women's Hospital
• Brigham and Women's Hospital
• Nicholas K Brisbois, PHARMD
• Richard Thomas Bristol, PSY.D.
• Sharon C Broder, LCSW
• David Alexander Brogan, MA, MDIV
• Bryann Bromley, M.D.
• Brookline Acupuncture Clinic
• Brookline Adult and Child Counseling Inc
• Brookline Community Mental Health Center

• Internal Medicine Physician in Brookline, MA
• Providers in Brookline, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.