KENNETH BRODSKY (M.D.) – Family Medicine Physician, NPI 1093764847

KENNETH BRODSKY (M.D.) is a healthcare provider. based in Paris, Kentucky. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 02928 (KY). The NPI Number for KENNETH BRODSKY (M.D.) is 1093764847

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH BRODSKY (M.D.)
NPI
1093764847
Phone
(859) 987-8432
Address
5 LINVILLE DR
Enumeration Date
9 May 2006
Last Update Date
17 March 2008

Doctor Profile

Medical School Name
ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
8593688820
Graduation Year
1996 (30 years ago)
PAC ID
5395767479
Group Practice PAC ID
3274965272
Professional Enrollment ID
I20060105000261
Address ID
KY405053155LE1420XBROA300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,216 INTERNAL MEDICINE in KY

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Provider Addresses for KENNETH BRODSKY (M.D.)

  • 5, Linville Drive, Paris, Bourbon County, Kentucky, 40361, United States

    SUITE 104

    PARIS, KY 403612165

    Phone: (859) 987-8432

    Fax: (859) 987-8433

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $222.

Total Amount is formed as General ($222) + Research ($0) + Ownership ($0) = $222.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Indivior Inc. ($89).

Total Amount

$222

General + Research + Ownership

Payments

11

Total payment records

General Amount

$222

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-01-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060105000261IInternal MedicineKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40361)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274965272View full group profile
NameSpecialtyState
Internal MedicineKY
Clinical Social WorkerKY
Internal Medicine, RheumatologyKY
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What is the registry number for KENNETH BRODSKY (M.D.)?
The registry entry for KENNETH BRODSKY (M.D.) shows NPI 1093764847.
Quick check: is KENNETH BRODSKY (M.D.) active?
Public NPPES data shows KENNETH BRODSKY (M.D.) with an active NPI status right now.
What services align with KENNETH BRODSKY (M.D.)'s listing?
KENNETH BRODSKY (M.D.)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit KENNETH BRODSKY (M.D.) in Paris, Kentucky?
For routing, start with Paris, Kentucky for KENNETH BRODSKY (M.D.), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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