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BRIDGET BRODLO
NPI 1447980719
Counselor - Professional in Chicago, IL

Active since June 10, 2022PECOS Enrolled
2027 N MAGNOLIA AVE, CHICAGO, IL 60614(708) 860-1996 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 2, 2024, Jun 10, 2022 (2 updates tracked since 2022).

About Bridget Brodlo NPPES

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

BRIDGET BRODLO (NPI 1447980719) is an individual professional provider in Chicago, Illinois, licensed in Illinois (78020173) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447980719
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameBRIDGET BRODLO
Location Address2027 N MAGNOLIA AVEChicago, IL 60614-4009
Mailing Address2027 N Magnolia AveChicago, IL 60614-4009
Phone(708) 860-1996
Sole ProprietorNo
Enumeration DateJune 10, 2022
Last NPPES UpdateMay 2, 20242 updates tracked since enumeration
NPPES CertifiedMay 2, 2024
✔ NPI 1447980719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 78020173
Also ListedCounselorTaxonomy 101Y00000X
2027 N MAGNOLIA AVE, Chicago, IL 60614
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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)

Bridget Brodlo 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.

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 Bridget Brodlo's NPI number?

The NPI number for Bridget Brodlo is 1447980719. It was assigned to this individual provider in the NPPES registry on June 10, 2022.

Where is Bridget Brodlo located?

Bridget Brodlo practices at 2027 N Magnolia Ave, Chicago, IL 60614. The listed phone number is (708) 860-1996.

What is Bridget Brodlo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Bridget Brodlo enrolled in Medicare?

Yes. Bridget Brodlo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bridget Brodlo was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.