Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Randy M Brodnik, DOFACOG

Individual provider Obstetrics & Gynecology Physician · NPI 1609861996

Randy M Brodnik, DOFACOG is an Obstetrics/Gynecology in Princeton, West Virginia. Graduated from Midwestern University, Chicago College of Osteopathic Med in 1988, 38 years ago. Practices with Bluestone Health Association, Inc, a 38-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
38
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
WV
In the registry since
2005
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Practice location Address checks out

150 Courthouse Rd Ste 202
Princeton, WV 24740-2450
Phone: (304) 327-0531
Fax: (304) 324-0548
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 1566 (WV)

Record details

NPI number1609861996
Entity typeIndividual (Type 1)
GenderMale
Credentials DOFACOG
Sole proprietorYes
NPI enumeratedSeptember 13, 2005
Last updated in NPPESFebruary 4, 2021
Certification dateFebruary 4, 2021
Mailing address150 Courthouse Rd Ste 202, Princeton, WV 24740-2450

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 1988 (38 years in practice)
Group practice Bluestone Health Association, Inc. — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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