Provider Type Icon

ALEXANDER RUDOLF BRODEN M.D. NPI 1063695518


NPI Information

NPI: 1063695518
Provider Name: ALEXANDER RUDOLF BRODEN, M.D.
Classification: Clinic/Center - 261QM0850X
Entity Type: Individual

Specialization: Adult Mental Health

PECOS Registration: Yes

Address:
11 HILLVIEW DR
SCARSDALE, NY
ZIP 10583
Phone: (914) 723-8708
Get Directions

Alexander Rudolf Broden, M.D. is an adult mental health clinic center in Scarsdale, NY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. Alexander Rudolf Broden, M.D. NPI is 1063695518. 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:

11 HILLVIEW DR
SCARSDALE, NY
ZIP 10583-531
Phone: (914) 723-8708
Fax: (914) 722-0752

The NPI 1063695518 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, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/6/2007 and was last updated on 5/22/2020.


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
1261QM0850XClinic/CenterAdult Mental Health83299NEW YORKYes
2102L00000XPsychoanalyst83299NEW YORKNo

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.