STANFORD R BRODER (NPI# 1316942519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316942519 |
| Entity Type | Individual |
| Full Name | STANFORD R BRODER |
| Credential | MD |
| Practice Address |
51-53 Kenosia Ave Danbury CT 06810 |
| Practice Telephone | 2037480330 |
| Practice Fax Number | 2037313273 |
| Mailing Telephone | 2037480330 |
| Mailing Fax Number | 2037313273 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2011-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 037497 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001374975 | 05 |
| Street Address |
51-53 KENOSIA AVE |
| City | DANBURY |
| State | CT |
| Zip Code | 06810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538164736 | Jeffrey Gorelick | Urology | 51-53 Kenosia Ave, Danbury, CT 06810 | 2005-06-15 |
| 1437548096 | Ums Lithotripsy Services of Danbury, LLC | Clinic/Center | 51-53 Kenosia Ave, Danbury, CT 06810-2304 | 2015-01-20 |
| 1922311307 | Andrea Hoboken Russo | Obstetrics & Gynecology | 51-53 Kenosia Ave, Danbury, CT 06810-2304 | 2010-07-14 |
| 1134368202 | Urology Associates of Danbury | Urology | 51-53 Kenosia Ave, Danbury, CT 06810-2301 | 2009-02-13 |
| 1447378401 | John James Bruno II | Urology | 51-53 Kenosia Ave, Danbury, CT 06810 | 2007-03-27 |
| 1205860756 | Diane St. Pierre | Physician Assistant | 51-53 Kenosia Ave, Danbury, CT 03681 | 2006-07-10 |
| 1033150081 | Michael Baroody | Surgery | 51-53 Kenosia Ave, Suite 201, Danbury, CT 06810-2304 | 2006-06-09 |
| 1932107034 | Urology Associates of Danbury PC | Urology | 51-53 Kenosia Ave, Danbury, CT 06810-2301 | 2005-07-12 |
| 1245235449 | Edward M Beck | Urology | 51-53 Kenosia Ave, Danbury, CT 06810 | 2005-06-15 |
| 1114922309 | William T. Hennessy | Urology | 51-53 Kenosia Ave, Danbury, CT 06810-4015 | 2005-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
| 1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
| 1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
| 1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
| 1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
| 1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
| 1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
| 1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
| Find all providers in zip 06810 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538164736 | Jeffrey Gorelick | Urology | 51-53 Kenosia Ave, Danbury, CT 06810 | 2005-06-15 |
| 1134368202 | Urology Associates of Danbury | Urology | 51-53 Kenosia Ave, Danbury, CT 06810-2301 | 2009-02-13 |
| 1447378401 | John James Bruno II | Urology | 51-53 Kenosia Ave, Danbury, CT 06810 | 2007-03-27 |
| 1932107034 | Urology Associates of Danbury PC | Urology | 51-53 Kenosia Ave, Danbury, CT 06810-2301 | 2005-07-12 |
| 1245235449 | Edward M Beck | Urology | 51-53 Kenosia Ave, Danbury, CT 06810 | 2005-06-15 |
| 1114922309 | William T. Hennessy | Urology | 51-53 Kenosia Ave, Danbury, CT 06810-4015 | 2005-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
| 1407325863 | Health Quest Medical Practice, PC | Urology | 120 Park Lane Poad, Suite A202, New Milford, CT 06776-2445 | 2018-11-15 |
| 1740667815 | Keith Richard O'brien | Urology | 2600 Main St Ste 119, Bridgeport, CT 06606-5305 | 2015-04-28 |
| 1336534312 | David Thomas Ahlborn | Urology | 80 Seymour St Dept Of, Hartford, CT 06106-3315 | 2015-04-06 |
| 1487095451 | Alan Cahn Davidson | Urology | 15 Edgehill Dr, Woodbridge, CT 06525-1418 | 2013-07-08 |
| 1003158106 | Christine White Cumarasamy | Urology | Hartford Hospital Urology Dept, 79 Retreat Avenue, Hartford, CT 06106 | 2013-03-27 |
| 1568722551 | Joseph Mathew Brito IIi | Urology | 789 Howard Ave # Fmp302, New Haven, CT 06519-1304 | 2012-05-23 |
| 1861768749 | Philip B. Jensen | Urology | 59 Hilltop Road, Sharon, CT 06069-0727 | 2012-03-26 |
| 1568749612 | Michael G Tager | Urology | 104 Imperial Ave, Westport, CT 06880-5034 | 2011-11-03 |
| 1679869572 | Dana Ufnal Kivlin | Urology | 520 Saybrook Rd Ste 100b, Middletown, CT 06457-4700 | 2011-06-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.