Brownie Fagan, RN BSN CMSRN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

704102-01 Issued in NY

Practice address

5050 Iselin Ave
Bronx, NY 10471-2915

Phone

(718) 549-6700

NPI assigned

Sep 22, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coordinated Behavioral Care Ipa Inc

  • Multi-Specialty Clinic/Center
  • Bronx, NY
  • NPI 1457881443
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623456000000",
    "number": "1003199456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 ISELIN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104712915",
            "telephone_number": "718-549-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 ISELIN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104712915",
            "telephone_number": "718-549-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGAN",
        "first_name": "BROWNIE",
        "credential": "RN BSN CMSRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-22",
        "last_updated": "2021-06-12",
        "certification_date": "2021-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "704102-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Fadel, M.D.
• Betsy Faden-Qureshi, CTRS, CASAC
• Brenda Prince Fadeyibi, OTR/L
• Angel A. Fadul
• Oluwadare Faduri, LPN
• David Fagan, M.D.
• Michele J Fagan, MD
• Lanrewaju Fagbenro
• Clara Fagbeyiro, RN
• Joana Abena Fagbola, LCSW

• Medical-Surgical Registered Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• Medical-Surgical Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.