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DR. ALEXANDER GREGORY BRODSKY DMD
NPI 1063591931
Dentist - Dental Public Health in Portland, OR

Active since November 03, 2006PECOS Enrolled
3653 SE 34TH AVE, PORTLAND, OR 97202(503) 988-4410(503) 988-5642 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Alexander Gregory Brodsky Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALEXANDER GREGORY BRODSKY DMD (NPI 1063591931) is an individual dental public health provider in Portland, Oregon, licensed in Oregon (D7465) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063591931
Entity TypeIndividualMale
Primary Taxonomy1223D0001X
Provider Legal NameDR. ALEXANDER GREGORY BRODSKYCredential: DMD
Location Address3653 SE 34TH AVEPortland, OR 97202-3034
Mailing Address10618 Sw 43rd AvePortland, OR 97219-6992 · (503) 488-5984
Phone(503) 988-4410
Fax(503) 988-5642
Sole ProprietorNo
Enumeration DateNovember 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063591931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
License✔ Licensed in OR · D7465
Definition
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.
3653 SE 34TH AVE, Portland, OR 97202
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alexander Gregory Brodsky Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ADRIENNE BROOKE REED RDH
Dental Hygienist
3653 SE 34TH AVE
PORTLAND, OR 97202
Multnomah County (503) 988-5558
MS. ALICIA JOY PLUMB D.D.S
Dentist (General Practice)
3653 SE 34TH AVE
PORTLAND, OR 97202
Multnomah County (503) 988-4410
MULTNOMAH COUNTY
Clinic/Center (Public Health, State or Local)
3653 SE 34TH AVE
PORTLAND, OR 97202
Multnomah County (503) 988-3663
CARLA REMESCHATIS CHW
Community Health Worker
3653 SE 34TH AVE
PORTLAND, OR 97202
Multnomah County (503) 988-6628
MULTNOMAH COUNTY
Clinic/Center (Federally Qualified Health Center (FQHC))
3653 SE 34TH AVE
PORTLAND, OR 97202
Multnomah County (503) 988-4410
THERESA EMILY CHIAPPE
Internal Medicine
3653 SE 34TH AVE
PORTLAND, OR 97202
Multnomah County (503) 780-9522
MULTNOMAH COUNTY OREGON
Pharmacy (Clinic Pharmacy)
3653 SE 34TH AVE
PORTLAND, OR 97202
Multnomah County (503) 988-5423
DR. JEANINE LEA HERZOG DMD
Dentist (General Practice)
3653 SE 34TH AVE
PORTLAND, OR 97202
Multnomah County (503) 665-9616

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexander Brodsky's NPI number?

The NPI number for Alexander Brodsky is 1063591931. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Alexander Brodsky located?

Alexander Brodsky practices at 3653 SE 34th Ave, Portland, OR 97202. The listed phone number is (503) 988-4410.

What is Alexander Brodsky's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

Is Alexander Brodsky enrolled in Medicare?

Yes. Alexander Brodsky is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexander Brodsky was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.