Kenneth E Brodsky (NPI# 1134159593, PAC ID# 2264474618) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1134159593 |
| PAC ID by PECOS | 2264474618 |
| Professional Enrollment ID | I20050525000731 |
| Full Name | Kenneth E Brodsky |
| Organization Legal Name | ST MARYS REGIONAL MEDICAL CENTER |
| Address |
2 Great Falls Plz Suite 21 Auburn ME 04210-5966 |
| Phone Number | 2073303950 |
| Gender | M |
| Credential | DO |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 1985 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0042107120 |
| Number of Group Practice Members | 188 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 200034 | ST MARYS REGIONAL MEDICAL CENTER |
| 200024 | CENTRAL MAINE MEDICAL CENTER |
| 200050 | MAINE COAST MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2 Great Falls Plz, Suite 21, Auburn, ME 04210-5966 | 2073303950 | ST MARYS REGIONAL MEDICAL CENTER |
| 3 Willow Run, Auburn, ME 04210-8501 | 2075133550 | ST MARYS REGIONAL MEDICAL CENTER |
| 93 Campus Ave, Lewiston, ME 04240-6030 | ST MARYS REGIONAL MEDICAL CENTER | |
| 1230 Maine St, Poland, ME 04274-7325 | 2079984483 | ST MARYS REGIONAL MEDICAL CENTER |
| Organization Legal Name | ST MARYS REGIONAL MEDICAL CENTER |
| Physicians | 193 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corinna M Campbell | Nurse Practitioner | St Marys Regional Medical Center | 791 Turner St, Unit 2, Auburn, ME 04210-6314 |
| Colleen M Shula | Nurse Practitioner | St Marys Regional Medical Center | 2 Great Falls Plz, Suite 21, Auburn, ME 04210-5966 |
| Erica J Richards | Certified Nurse Midwife (cnm) | St Marys Regional Medical Center | 330 Sabattus St, Lewiston, ME 04240-5553 |
| Jordan A Albair | Nurse Practitioner | St Marys Regional Medical Center | 1230 Maine St, Poland, ME 04274-7325 |
| Nan Boucher | Nurse Practitioner | St Marys Regional Medical Center | 99 Campus Ave, Suite 201, Lewiston, ME 04240-6045 |
| Gregory C Pomeroy | Orthopedic Surgery | St Marys Regional Medical Center | 117 Auburn St, Portland, ME 04103-6003 |
| Stephan O Bamberger | Physical Medicine and Rehabilitation | St Marys Regional Medical Center | 15 Gracelawn Rd, Auburn, ME 04210-6334 |
| Paul E Raczynski | Internal Medicine | St Marys Regional Medical Center | 3 Willow Run, Auburn, ME 04210-8501 |
| Jeffrey S Michaud | Family Medicine | St Marys Regional Medical Center | 15 Mollison Way, Lewiston, ME 04240-5805 |
| Mary C Fahrenbach | Interventional Cardiology | St Marys Regional Medical Center | 93 Campus Ave, Suite G025, Lewiston, ME 04240-6030 |
| Street Address |
2 GREAT FALLS PLZ SUITE 21 |
| City | AUBURN |
| State | ME |
| Zip | 04210-5966 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colleen M Shula | Nurse Practitioner | St Marys Regional Medical Center | 2 Great Falls Plz, Suite 21, Auburn, ME 04210-5966 |
| Dallas Marquis | Physician Assistant | St Marys Regional Medical Center | 2 Great Falls Plz, Suite 21, Auburn, ME 04210-5966 |
| Jamie J Dufour | Physician Assistant | Central Maine Medical Center | 2 Great Falls Plz, Auburn, ME 04210-5966 |
| Lindsay M Harnden | Physician Assistant | St Marys Regional Medical Center | 2 Great Falls Plz, Suite 21, Auburn, ME 04210-5966 |
| Nathaniel T Sherman | Physician Assistant | St Marys Regional Medical Center | 2 Great Falls Plz, Suite 21, Auburn, ME 04210-5966 |
| Lindsay R Houlihan | Physician Assistant | Central Maine Medical Center | 2 Great Falls Plz, Auburn, ME 04210-5966 |
| Jared M Roy | Physician Assistant | Central Maine Medical Center | 2 Great Falls Plz, Auburn, ME 04210-5966 |
| Meagan L Schmersal | Nurse Practitioner | St Marys Regional Medical Center | 2 Great Falls Plz, Suite 21, Auburn, ME 04210-5966 |
| Kelly Johnson | Nurse Practitioner | St Marys Regional Medical Center | 2 Great Falls Plz, Suite 21, Auburn, ME 04210-5966 |
| Shashi Kala Panozzo | Family Medicine | St Marys Regional Medical Center | 2 Great Falls Plz, Suite 21, Auburn, ME 04210-5966 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul N Morin | Chiropractic | 862 Minot Ave, Auburn, ME 04210-3717 | |
| Behzad Fakhery | General Surgery | 33 Rafnell St, Auburn, ME 04210-3727 | |
| Deanne E Ochoa Durrell | Clinical Social Worker | Health Affiliates Maine, LLC | 306 Rodman Rd, Auburn, ME 04210-3830 |
| Sarina L Brooks | Clinical Social Worker | Health Affiliates Maine, LLC | 306 Rodman Rd, Auburn, ME 04210-3830 |
| Marie A Laverriere | Clinical Social Worker | Health Affiliates Maine, LLC | 306 Rodman Rd, Auburn, ME 04210-3830 |
| Caroline Torres | Clinical Social Worker | Health Affiliates Maine, LLC | 306 Rodman Rd, Auburn, ME 04210-3830 |
| Kandi L Robertson | Clinical Social Worker | Health Affiliates Maine, LLC | 306 Rodman Rd, Auburn, ME 04210-3830 |
| Karen A Haley | Clinical Social Worker | Health Affiliates Maine, LLC | 306 Rodman Rd, Auburn, ME 04210-3830 |
| Charles R Doucette | Clinical Social Worker | Health Affiliates Maine, LLC | 306 Rodman Rd, Auburn, ME 04210-3830 |
| Judith M Zink | Clinical Social Worker | Health Affiliates Maine, LLC | 306 Rodman Rd, Auburn, ME 04210-3830 |
| Find all physicians in zip 04210 | |||
| City | AUBURN |
| Zip Code | 04210 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | AUBURN + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kenneth E Brodsky.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.