Active NPI
Brad W Brososky, MD
- Family Medicine Physician
- Hayden, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M7486
- Practice address
- 8181 Cornerstone Dr
Hayden, ID 83835 - Phone
- (208) 772-0785
- Fax
- (208) 762-2704
- NPI assigned
- Nov 22, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M7486 | ID | Primary |
Addresses
Primary practice location
8181 Cornerstone Dr
Hayden, ID 83835
Mailing address
8181 Cornerstone Dr
Hayden, ID 83835
Phone (208) 772-0785
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040206000418 | ID | Practitioner - Family Practice | 0648163253 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cornerstone Professional Associates
Practice addresses (Care Compare)
8181 N Cornerstone Dr
Hayden Lake, ID 83835-8752
Phone (208) 772-0785
Hospital & facility affiliations
- Kootenai Health
- Northwest Specialty Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M7486 | ID | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Professional Associates | Family Medicine | Current | Accepting new patients |
| Kootenai Health, Inc. | Past | Accepting new patients |
Locations
8181 N Cornerstone Dr
Hayden Lake, ID 83835
Phone (208) 772-0785
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Hayden, ID
- NPI 1639152739
Family Medicine, ID
-
- Psychiatry Physician
- Coeur D Alene, ID
- NPI 1174661151
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Post Falls, ID
- NPI 1649123589
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1922081041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8181 CORNERSTONE DR",
"city": "HAYDEN",
"state": "ID",
"postal_code": "83835",
"telephone_number": "208-772-0785",
"fax_number": "208-762-2704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8181 CORNERSTONE DR",
"city": "HAYDEN",
"state": "ID",
"postal_code": "83835",
"telephone_number": "208-772-0785",
"fax_number": "208-762-2704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROSOSKY",
"first_name": "BRAD",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M7486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hayden, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.