Provider Demographics
NPI:1285292227
Name:BRODSKY, MAX ALEXANDER (MD)
Entity type:Individual
Prefix:
First Name:MAX
Middle Name:ALEXANDER
Last Name:BRODSKY
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2827 SMITH AVE STE A
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-1426
Mailing Address - Country:US
Mailing Address - Phone:410-653-4002
Mailing Address - Fax:410-666-0803
Practice Address - Street 1:2827 SMITH AVE STE A
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-1426
Practice Address - Country:US
Practice Address - Phone:410-653-4002
Practice Address - Fax:225-666-0803
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-04
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0100542207R00000X, 208M00000X, 207RH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist