MEDICARE: DR. MICHAEL BRODIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	142123-1	NY

General Provider Information

NPI Number	:	1326046921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL BRODIN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 745
Second Line	:
City	:	CHESTER
State	:	NY
Zip	:	10918-0745
Country	:	US
Telephone Number	:	914-625-8600
Fax Number	:	888-254-5368

Provider Business Practice Location Address
First Line	:	16400 SODA SPRINGS RD
Second Line	:
City	:	LOS GATOS
State	:	CA
Zip	:	95033-8621
Country	:	US
Telephone Number	:	914-625-8600
Fax Number	:	888-254-5368

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	04/27/2016

Similar Medicare Providers

1366569469 — DR. ALINE SMITH MFT
Practice Location Address:

8621 BELLANCA AVE STE 215
LOS ANGELES, CA
90045-4432

Practice Phone: 310-641-1633
Practice Fax: 310-216-7524

1053514620 — DR. JUDITH ANN LAFFERTY PHD
Practice Location Address:

8621 BELLANCA AVE , STE. 215
LOS ANGELES, CA
90045-4418

Practice Phone: 310-641-1633
Practice Fax: 310-216-7524

1063796803 — CENTURY 21ST HEALTH SERVICES, INC
Practice Location Address:

8621 BELLANCA AVE STE 102
LOS ANGELES, CA
90045-4418

Practice Phone: 310-866-7396
Practice Fax: 310-997-0973

1215597976 — POSITIVE EDUCATION AFFECTS CHANGE EVERYWHERE-P.E.A.C.E
Practice Location Address:

8621 RUTHELEN ST
LOS ANGELES, CA
90047-3208

Practice Phone: 323-984-5768
Practice Fax:

1205470200 — ROXANNE DIAZ
Practice Location Address:

8621 OLIN ST
LOS ANGELES, CA
90034-2514

Practice Phone: 310-774-1463
Practice Fax:

1124058805 — DR. KAVITHA HUBBARD M.D.
Practice Location Address:

18055 IDALYN DR
LOS GATOS, CA
95033-8924

Practice Phone: 310-502-0851
Practice Fax:

Directions to “ DR. MICHAEL BRODIN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.