MADISON INNES BRODOSKI M.A., CF-SLP
NPI 1194518787
Speech-Language Pathologist in Dewitt, MI

Active since May 27, 2025
1161 E CLARK RD STE 360-A, DEWITT, MI 48820(517) 507-5525(517) 507-3085 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Madison Innes Brodoski M.a., Cf-slp NPPES

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

MADISON INNES BRODOSKI M.A., CF-SLP (NPI 1194518787) is an individual speech-language pathologist provider in Dewitt, Michigan, licensed in Michigan (7152001145) and active in the NPI registry since May 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1194518787
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMADISON INNES BRODOSKICredential: M.A., CF-SLP
Location Address1161 E CLARK RD STE 360-ADewitt, MI 48820-7930
Mailing Address1060 Aaron Dr Apt 307Dewitt, MI 48820-7974 · (313) 600-6394
Fax(517) 507-3085
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 27, 2025
NPPES CertifiedMay 27, 2025
✔ NPI 1194518787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MI · 7152001145
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1161 E CLARK RD STE 360-A, Dewitt, MI 48820

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madison Innes Brodoski M.a., Cf-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749758688
PECOS Enrollment IDI20260508001040

Medicare Billing Reassignments

2

Medicare enrollment records show Madison Brodoski reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sports Medicine
400 ROUNDS DR
Fenton, MI 48430
  • Reassigned Medicare billing, Michigan enrollment
  • 339 clinicians in this Medicare group
Pediatrics
27555 FARMINGTON RD STE 125
Farmington Hills, MI 48334
  • Reassigned Medicare billing, Michigan enrollment
  • 14 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

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

Occupational Therapy Assistant
1161 E CLARK RD STE 360-A
DEWITT, MI 48820
Occupational Therapist
1161 E CLARK RD STE 360-A
DEWITT, MI 48820
Behavior Technician
1161 E CLARK RD STE 360-A
DEWITT, MI 48820
Behavior Technician
1161 E CLARK RD STE 360-A
DEWITT, MI 48820
Behavior Technician
1161 E CLARK RD STE 360-A
DEWITT, MI 48820
Behavior Technician
1161 E CLARK RD STE 360-A
DEWITT, MI 48820
Occupational Therapist (Pediatrics)
1161 E CLARK RD STE 360-A
DEWITT, MI 48820
Behavior Technician
1161 E CLARK RD STE 360-A
DEWITT, MI 48820

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 Madison Brodoski's NPI number?

The NPI number for Madison Brodoski is 1194518787. It was assigned to this individual provider in the NPPES registry on May 27, 2025.

Where is Madison Brodoski located?

Madison Brodoski practices at 1161 E Clark Rd Ste 360-A, Dewitt, MI 48820. The listed phone number is (517) 507-5525.

What is Madison Brodoski's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Madison Brodoski enrolled in Medicare?

Yes. Madison Brodoski is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Madison Brodoski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madison Brodoski reassigns Medicare benefits to 2 organizations: Ivyrehab Michigan, LLC (Fenton, MI) and Therapeutic Advantage LLC (Farmington Hills, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Madison Brodoski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madison Brodoski accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Madison Brodoski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Madison Brodoski was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.