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DR. ALEXANDER GREGORY BRODSKY DMD NPI 1063591931


NPI Information

NPI: 1063591931
Provider Name: DR. ALEXANDER GREGORY BRODSKY, DMD
Classification: Dentist - 1223D0001X
Entity Type: Individual

Specialization: Dental Public Health

PECOS Registration: Yes

Address:
3653 SE 34TH AVE
PORTLAND, OR
ZIP 97202
Phone: (503) 988-4410
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DR. Alexander Gregory Brodsky, DMD is a dental public health dentist in Portland, OR. The provider is 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. DR. Alexander Gregory Brodsky, DMD NPI is 1063591931. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3653 SE 34TH AVE
PORTLAND, OR
ZIP 97202-034
Phone: (503) 988-4410
Fax: (503) 988-5642

The NPI 1063591931 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223D0001XDentistDental Public HealthD7465OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.