RANDY M BRODNIK DO FACOG
NPI 1609861996
Obstetrics & Gynecology in Princeton, WV
About Randy M Brodnik Do Facog NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RANDY M BRODNIK DO FACOG (NPI 1609861996) is an individual obstetrics & gynecology provider in Princeton, West Virginia, licensed in West Virginia (1566) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Princeton Community Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1988).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Randy M Brodnik Do Facog is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Randy Brodnik reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Princeton, WV 24740
- Reassigned Medicare billing, West Virginia enrollment
- Also billed through NPI 1003453317 (West Virginia)
- 34 clinicians in this Medicare group
Warrenton, VA 20186
- Reassigned Medicare billing, Virginia enrollment
- 111 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Princeton Community Hospital
Acute Care Hospitals · Princeton, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 24740 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Randy Brodnik's NPI number?
The NPI number for Randy Brodnik is 1609861996. It was assigned to this individual provider in the NPPES registry on September 13, 2005.
Where is Randy Brodnik located?
Randy Brodnik practices at 150 Courthouse Rd Ste 202, Princeton, WV 24740. The listed phone number is (304) 327-0531.
What is Randy Brodnik's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Randy Brodnik enrolled in Medicare?
Yes. Randy Brodnik is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Randy Brodnik's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randy Brodnik reassigns Medicare benefits to 2 organizations: Bluestone Health Association, Inc. (Princeton, WV) and Fauquier Physician Practices LLC (Warrenton, VA). 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 Randy Brodnik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Randy Brodnik accept?
Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Randy Brodnik 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.
Is Randy Brodnik affiliated with any hospitals?
According to CMS data, Randy Brodnik is affiliated with Princeton Community Hospital.
When was this NPI record last updated?
The NPPES record for Randy Brodnik was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Randy M Brodnik, DO FACOG · NPI 1609861996
Obstetrics & Gynecology physician in Princeton, West Virginia. Individual provider, active in the CMS NPPES registry since September 13, 2005.
## Identity
- **NPI:** 1609861996 (Entity type: Individual)
- **Enumerated:** September 13, 2005
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 1566 (West Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 150 COURTHOUSE RD STE 202, Princeton, WV 24740-2450
- **Phone:** (304) 327-0531 · **Fax:** (304) 324-0548
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Bluestone Health Association, Inc. (NPI 1437508314, Princeton, WV); Fauquier Physician Practices LLC (NPI 1770916983, Warrenton, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Midwestern University, Chicago College Of Osteopathic Med, class of 1988
## Record status
- **NPPES last updated:** February 4, 2021
- **Other identifiers:** Other 6210970 (VA); Medicaid 0093390000 (WV)
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Source: [NPI Profile](https://npiprofile.com/npi/1609861996) · Data from the CMS NPPES public registry.