Jeffrey Alan Brodsky
Orthopaedic Surgeon
2131 Lake Ave Suite #1
Ashtabula
, Ohio 44004-3466
Jeffrey Alan Brodsky
Orthopaedic Surgeon
2131 Lake Ave Suite #1
Ashtabula
, Ohio 44004-3466
(440) 992-4238
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About
Features
Specialties
- Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Jeffrey Alan Brodsky
- 2131 Lake Ave Ste 1
- Ashtabula, OH
- Zip : 44004-3466
- Fax : (440) 992-4238
- Phone : (440) 997-6646
Second Address
- Jeffrey Alan Brodsky
- 2131 Lake Ave Suite #1
- Ashtabula, OH
- Zip : 44004-3466
- Fax : (440) 992-4238
- Phone : (440) 997-6646
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 4336 | OH |
National Provider Identifier
| NPI | 1003990029 |
|---|---|
| Provider Name | Jeffrey Alan Brodsky |
| First Address | Ashtabula, OH 44004-3466 |
| Second Address | Ashtabula, OH 44004-3466 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2006 |
| Last Update Date | 24/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000136131 | ANTHEM (01) | OH |
| 0678646 | (05) | OH |
| 110020548 | RAILROAD MEDICARE (01) | |
| A17753 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.