DR. RICHARD A BRODKIN (NPI# 1609846385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609846385 |
| Entity Type | Individual |
| Full Name | DR. RICHARD A BRODKIN |
| Credential | MD |
| Practice Address |
276 Old Mocksville Rd Statesville NC 28625-1949 |
| Mailing Address |
Po Box 75216 Charlotte NC 28275-5216 |
| Practice Telephone | 7048735150 |
| Practice Fax Number | 7048735208 |
| Mailing Telephone | 7048735150 |
| Mailing Fax Number | 7048735208 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2013-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
20109 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED HEALTH CARE | 3601026 | 01 | |
| NC | 7918565 | 05 | |
| AETNA HMO | 3130882 | 01 | |
| AETNA PPO | 4098090 | 01 | |
| NC | BLUE CROSS AND BLUE SHIEL | 18565 | 01 |
| NC | PARTNERS NATIONAL HEALTH | 118 | 01 |
| VA | 006005314 | 05 | |
| MEDCOST | 21406 | 01 | |
| RAILROAD MEDICARE | P00031308 | 01 |
| Street Address |
276 OLD MOCKSVILLE RD |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28625-1949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760461529 | Perry L Bartelt | Family Medicine | 276 Old Mocksville Rd, Suite 400, Statesville, NC 28625-1949 | 2006-01-11 |
| 1528557832 | Elizabeth Deboe Vaughan | Counselor | 276 Old Mocksville Rd, Statesville, NC 28625-1949 | 2018-05-02 |
| 1235687419 | Wendy Doric | Nurse Practitioner | 276 Old Mocksville Rd, Suite 105, Statesville, NC 28625-1949 | 2016-09-15 |
| 1518238989 | Dana Shumate Felts | Physician Assistant | 276 Old Mocksville Rd, Suite 400, Statesville, NC 28625-1949 | 2012-01-18 |
| 1548431646 | Gloria Ostafy Bartelt | Dietitian, Registered | 276 Old Mocksville Rd, Suite 400, Statesville, NC 28625-1949 | 2008-03-17 |
| 1659561975 | Brenda Marie Alloway | Psychologist | 276 Old Mocksville Rd, Suite 100, Statesville, NC 28625-1949 | 2007-08-01 |
| 1285721548 | Piedmont Healthcare, Pa | Durable Medical Equipment & Medical Supplies | 276 Old Mocksville Rd, Suite 101, Statesville, NC 28625-1949 | 2006-10-06 |
| 1033202338 | Allyson M. Savery | Physician Assistant | 276 Old Mocksville Rd, Suite 100, Statesville, NC 28625-1949 | 2006-10-02 |
| 1740293349 | Rajkumar Joshi Md Pllc | Specialist | 276 Old Mocksville Rd, Suite 105, Statesville, NC 28625-8506 | 2006-08-14 |
| 1972529329 | Center for Infectious Diseases, Inc | Internal Medicine | 276 Old Mocksville Rd, Suite 1100, Statesville, NC 28625-1949 | 2006-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714163 | Sandra Lourdes Mayta | Counselor | 1450 Fern Creek Drive, Statesville, NC 28625 | 2020-03-05 |
| 1023643582 | Youngchi Chang Dds Pllc | Dentist | 964 Glenway Ave Ste A, Statesville, NC 28625 | 2020-03-05 |
| 1538799200 | Nicole-marie Blischak | Dentist | 964 Glenway Dr, Ste A, Statesville, NC 28625 | 2020-01-22 |
| 1013575257 | Sherry Neilson | Registered Nurse | 524 Signal Hill Rd, Statesville, NC 28625 | 2019-06-03 |
| 1770904328 | Elinor Kyle Tyner | Counselor | 1206 Museum Road, Statesville, NC 28625 | 2013-12-30 |
| 1982031001 | Tamiko Bradley | Counselor | 524 Signal Hill Dr Ext, Statesville, NC 28625 | 2013-10-03 |
| 1487932505 | Nicole Weisner Winecoff | Advanced Practice Midwife | 1420 Fern Creek Drive, Statesville, NC 28625 | 2011-07-22 |
| 1538461967 | Bethany J Sprague | Nurse Practitioner | 2632 Fines Creek Dr, Statesville, NC 28625 | 2010-11-17 |
| 1477789147 | Greenbriar Primary Care, Pa | Nurse Practitioner | 308-c Mocksville Highway, Statesville, NC 28625 | 2009-06-08 |
| 1619122538 | Phasebdevelopment | Substance Abuse Rehabilitation Facility | 113 Bethany Rd, Statesville, NC 28625 | 2008-11-19 |
| Find all providers in zip 28625 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649589763 | Forsyth Memorial Hospital Inc | Internal Medicine | 276 Old Mocksville Rd Ste 800, Statesville, NC 28625-1952 | 2010-10-07 |
| 1295809416 | Ruby Ann Grimm | Internal Medicine | 738 Bryant Street, Statesville, NC 28677-4189 | 2006-11-20 |
| 1710961404 | Pam Westmoreland Sholar | Internal Medicine | 365 Brookdale Drive, Statesville, NC 28677 | 2005-12-06 |
| 1326046814 | Pam Westmoreland Sholar Md Pllc | Internal Medicine | 365 Brookdale Dr, Statesville, NC 28677-4103 | 2005-07-08 |
| 1477805166 | Iredell Physician Network, LLC | Internal Medicine | 738 Bryant St, Statesville, NC 28677-4189 | 2012-10-05 |
| 1194953307 | Iredell Physician Network LLC | Internal Medicine | 365 Brookdale Dr, Statesville, NC 28677-4103 | 2009-06-25 |
| 1578544821 | Michael S Serwint | Internal Medicine | 365 Brookdale Dr, Statesville, NC 28677 | 2005-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909816 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 660, Charlotte, NC 28204-3215 | 2020-07-16 |
| 1346858487 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 560, Charlotte, NC 28204-3215 | 2020-07-15 |
| 1295343341 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 640, Charlotte, NC 28204-3215 | 2020-07-15 |
| 1881212215 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 520, Charlotte, NC 28204-3215 | 2020-07-13 |
| 1720606486 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 400, Charlotte, NC 28204-3215 | 2020-07-09 |
| 1720606445 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 430, Charlotte, NC 28204-3215 | 2020-07-09 |
| 1235757352 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 420, Charlotte, NC 28204-3215 | 2020-07-07 |
| 1811517311 | Rowan Regional Medical Center, Inc. | Internal Medicine | 631 Mocksville Ave, Ste 1020, Salisbury, NC 28144-2731 | 2020-04-24 |
| 1154955995 | Mohamed Sobhy Elhusseini Yassin | Internal Medicine | 2400 Pratt St Ste 5000, Durham, NC 27705-3976 | 2020-03-02 |
| 1164944377 | David Michael Ashley | Internal Medicine | Department of Neurosurgery Duke University Ctr, Durham, NC 27710-0001 | 2017-07-10 |
| Find all providers with the same taxonomy | ||||
| City | STATESVILLE |
| Zip Code | 28625 |
Please comment or provide details below to improve the information on DR. RICHARD A BRODKIN.
| 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.