Organization Active NPI

Robert a. Brodner, MD, PA

  • Neurological Surgery Physician
  • West Palm Beach, FL
National Provider Identifier
1962776526
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME0046672 Issued in FL
Legal business name
ROBERT A. BRODNER, MD, PA
Practice address
1411 N. Flagler Dr.
Suite 5900
West Palm Beach, FL 33401-3412
Phone
(561) 833-6388
Fax
(561) 833-6353
NPI assigned
Feb 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Lisa Carlow
Title
Office Manager
Phone
(561) 833-4054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X ME0046672 FL Primary

Addresses

Primary practice location

1411 N. Flagler Dr.
Suite 5900
West Palm Beach, FL 33401-3412

Mailing address

1411 N. Flagler Dr.
Suite 5900
West Palm Beach, FL 33401-3412
Phone (561) 833-6388

Other identifiers 2

IdentifierTypeStateIssuer
61463OtherFLPROVIDER NUMBER
04251300MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1962776526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N. FLAGLER DR.",
            "address_2": "SUITE 5900",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013412",
            "telephone_number": "561-833-6388",
            "fax_number": "561-833-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N. FLAGLER DR.",
            "address_2": "SUITE 5900",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013412",
            "telephone_number": "561-833-6388",
            "fax_number": "561-833-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A. BRODNER, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "CARLOW",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-833-4054",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME0046672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "61463",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04251300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.