DR. ALEXANDER GREGORY BRODSKY


Address: 3653 Se 34th Ave, Portland, OR 97202-3034
Phone: 5039884410

DR. ALEXANDER GREGORY BRODSKY (NPI# 1063591931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063591931
Entity Type Individual
Full Name DR. ALEXANDER GREGORY BRODSKY
Credential DMD
Practice Address 3653 Se 34th Ave
Portland
OR 97202-3034
Mailing Address 10618 Sw 43rd Ave
Portland
OR 97219-6992
Practice Telephone 5039884410
Practice Fax Number 5039885642
Mailing Telephone 5034885984
Enumeration Date 2006-11-03
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223D0001X Dentist
Specialization: Dental Public Health
D7465 OR Dental Providers

Other Providers ALEXANDER BRODSKY

NPI Name Taxonomy Address Enumeration
1396781332 Alexander Brodsky Internal Medicine 8622 Bay Pkwy, Brooklyn, NY 11214-4168 2006-06-20

Office Location

Street Address 3653 SE 34TH AVE
City PORTLAND
State OR
Zip Code 97202-3034

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255425294 Alicia Joy Plumb Dentist 3653 Se 34th Ave, Portland, OR 97202-3034 2006-10-03
1578180212 Kendal D Cusack Pharmacist 3653 Se 34th Ave, Portland, OR 97202-3034 2020-06-29
1598382236 Astrid Joy Hollensteiner Pharmacy Technician 3653 Se 34th Ave, Portland, OR 97202-3034 2020-06-29
1285136820 Multnomah County Clinic/Center 3653 Se 34th Ave, Portland, OR 97202-3034 2018-02-28
1558770149 Ruth Saunders Nurse Practitioner 3653 Se 34th Ave, Portland, OR 97202-3034 2014-08-07
1922424803 Perla Sabeniano Gilfillan Dental Hygienist 3653 Se 34th Ave, Portland, OR 97202-3034 2014-03-14
1396087631 Multnomah County Oregon Pharmacy 3653 Se 34th Ave, Portland, OR 97202-3034 2013-03-25
1881940435 Diana V. Bokov Dentist 3653 Se 34th Ave, Portland, OR 97202-3034 2012-08-01
1447533948 Margot Strauhull Counselor 3653 Se 34th Ave, Portland, OR 97202-3034 2011-09-21
1255644332 Multnomah County Clinic/Center 3653 Se 34th Ave, Portland, OR 97202-3034 2010-07-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073143442 Carewell LLC Counselor Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 2020-01-24
1588226765 Melissa Lynn Hartley Counselor 1235 Se Division St. Suite 103, Portland, OR 97202 2019-07-08
1275192999 Kimberly Rae Kilgore Counselor 5509 Se 22nd St #3a, Portland, OR 97202 2019-06-06
1639736069 Kyra Steinhauer Social Worker 3145 Se Powell Blvd, Portland, OR 97202 2019-05-21
1134644321 Bridgette Hennigsen Social Worker 3810 Se 11th Ave, Portland, OR 97202 2017-08-08
1558895789 Lenore Cangeloso Acupuncturist 1235 Se Division Street, Suie 117, Portland, OR 97202 2017-04-14
1376099093 Anna Christine Leclerc Contractor 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 2016-09-01
1144684663 Catholic Charities Case Management 2740 Se Powell Blvd., Portland, OR 97202 2016-04-11
1881082097 Zoomcare Dental, P.C. Dentist 3130 Se Division Street, Building 2, Portland, OR 97202 2014-12-23
1124424700 Jessica Nash Counselor 6411 Se 17th Ave, Portland, OR 97202 2014-11-10
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Taxonomy Information

Taxonomy Code 1223D0001X
Grouping Dental Providers
Classification Dentist
Specialization Dental Public Health

Taxonomy Definition

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477616720 Jia Lin Goh Dentist 2403 Se Monroe St Ste F, Portland, OR 97222-7646 2006-12-18
1174979934 Native American Rehabilitation Association Northwest, Inc. Dentist 12750 Se Stark St, Building E, Portland, OR 97233-1539 2016-05-11
1841441904 Dental Outreach Oregon Dentist 4707 Sw Kelly Ave, Suite 205, Portland, OR 97239-4252 2008-10-08
1710002324 City of Portland Maine Hhs, Phd Dentist 389 Congress St, Room 307, Portland, ME 04101-3509 2007-03-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427603968 County of Tillamook Dentist 1925 Suppress Rd N, Tillamook, OR 97141-9296 2019-08-01
1184289845 Bdg Dental LLC Dentist 901 Nw Carlon Ave Apt 1, Bend, OR 97703-2636 2019-05-07
1851878235 Gregory A Shook Dentist 2575 Center Street Ne, Salem, OR 97301-4667 2018-07-27
1730341975 County of Tillamook Dentist 34325 Highway 101 S, Cloverdale, OR 97112-9400 2008-06-30
1639291008 Todd Michael Schroeder Dentist 13 Ne 5th Ave, Milton Freewater, OR 97862-1701 2007-04-04
1104948579 Norman Dean Saager Dentist 508 E Broadway Ave, Milton Freewater, OR 97862-1315 2007-04-04
1477613636 Cynthia Rachel Varro Dentist 3617 S Pacific Highway, Medford, OR 97501 2006-12-11
1184703324 Athena Marie Bettger Dentist 600 Ne 8th, Dental Clinic, Gresham, OR 97030 2006-11-06
1083600712 Bc Nelson Dentist 470 E Washington St, Stayton, OR 97383-1837 2005-09-27
1417568668 County of Tillamook Dentist 805 Ivy Ave Ste B, Tillamook, OR 97141-3758 2020-08-12
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Competitor

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City PORTLAND
Zip Code 97202

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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