Brodsky, Randall Ira

Brodsky, Randall Ira is an individual health care provider with primary practice located at 206 2Nd St E , Bradenton FL 34208-1042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Brodsky, Randall Ira can be contacted via phone (941) 746-5111.

Contact Information

Primary practice address
206 2Nd St E Bradenton FL 34208-1042
Phone: (941) 746-5111
Fax: (941) 745-6862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X OS5172 Florida

Profile Details

NPI number 1780666776
LBN Legal business name Brodsky, Randall Ira
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Nov 2nd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780666776 NPPES
Florida Other OS5172 LICENSE NO
Florida Other P01259667 LICENSE NO
Florida MEDICAID 258671100 LICENSE NO

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