Dr Ivan Louis Brodsky, MD | |
4225 Golden Valley Rd, Golden Valley, MN 55422-4215 | |
(763) 588-0661 | |
(763) 302-4345 |
Full Name | Dr Ivan Louis Brodsky |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 4225 Golden Valley Rd, Golden Valley, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710932009 | NPI | - | NPPES |
0265003 | Other | MN | PREFERRED ONE |
0500353 | Other | MN | MEDICA |
183070800 | Medicaid | MN | |
30204400 | Medicaid | WI | |
02062BR | Other | MN | BCBS OF MN |
22782 | Other | MN | AMERICA'S PPO |
0507376 | Medicaid | IA | |
HP12967 | Other | MN | HEALTHPARTNERS |
100279C029 | Other | MN | UCARE |
130004298 | Other | MN | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 18799 (Minnesota) | Primary |
Entity Name | Minneapolis Clinic Of Neurology Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992739247 PECOS PAC ID: 5496668659 Enrollment ID: O20060809000254 |
Mailing Address | Practice Location Address |
---|---|
Dr Ivan Louis Brodsky, MD 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 Ph: (763) 588-0661 | Dr Ivan Louis Brodsky, MD 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 Ph: (763) 588-0661 |
Brent Berry, M.D./PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4225 Golden Valley Rd, Golden Valley, MN 55422 Phone: 763-588-0661 Fax: 763-302-4345 | |
Dr. Bruce James Mack, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4225 Golden Valley Rd, Golden Valley, MN 55422 Phone: 763-588-0661 Fax: 763-287-2310 | |
Dr. Jonathan Christian Calkwood, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4225 Golden Valley Rd, Golden Valley, MN 55422 Phone: 763-302-4199 Fax: 763-302-4218 | |
Dr. Matthew James Ostrander, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4225 Golden Valley Rd, Golden Valley, MN 55422 Phone: 763-588-0661 | |
Jessica Lauren Stulc, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4225 Golden Valley Rd, Golden Valley, MN 55422 Phone: 763-588-0661 Fax: 763-302-4346 | |
Dr. Thomas Allen Converse, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1405 Lilac Dr N, Ste 150, Golden Valley, MN 55422 Phone: 763-544-8194 Fax: 763-544-4413 | |
Dr. Xiaoming Dong, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4225 Golden Valley Rd, Golden Valley, MN 55422 Phone: 763-588-0661 Fax: 763-302-4345 |