Active NPI
Meghan Brodsky, D.D.S.
- General Practice Dentistry
- Warren, MI
National Provider Identifier
1922453539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 16367
- Practice address
- 12500 E 12 Mile Rd
Warren, MI 48093 - Phone
- (586) 573-6677
- NPI assigned
- May 2, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 16367 | MD | Primary |
Addresses
Primary practice location
12500 E 12 Mile Rd
Warren, MI 48093
Mailing address
9915 Pine Valley TRL
Brighton, MI 48114-8964
Phone (810) 962-0084
Other practice location 1
1001 S George St
York Hospital
York, PA 17403-3676
Phone (717) 851-2655
Other practice location 2
603 Nursery Rd
Westminster, MD 21157-6109
Phone (410) 848-5577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180905000337 | MI | Order and Referring Only - Dentist | 6901156439 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16367 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carroll County Dental Associates, LLC | General Practice | Past | Accepting new patients |
| Dental Associates L.L.C. | General Practice | Past | Accepting new patients |
| Barry S. Pinsky DDS, & Ellen B. Folbe DDS, PC | General Practice | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Warren, MI
- NPI 1891748422
-
- General Practice Dentistry
- Westminster, MD
- NPI 1316241292
-
- General Practice Dentistry
- Westminster, MD
- NPI 1205805801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534896000000",
"number": "1922453539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9915 PINE VALLEY TRL",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481148964",
"telephone_number": "810-962-0084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12500 E 12 MILE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "48093",
"telephone_number": "586-573-6677"
}
],
"practiceLocations": [
{
"address_1": "1001 S George St",
"address_2": "York Hospital",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174033676",
"country_code": "US",
"telephone_number": "717-851-2655",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "603 Nursery Rd",
"address_purpose": "LOCATION",
"city": "Westminster",
"state": "MD",
"postal_code": "211576109",
"country_code": "US",
"telephone_number": "410-848-5577",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRODSKY",
"first_name": "MEGHAN",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-02",
"last_updated": "2018-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "16367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.