Carol Brocato

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R094106 Issued in AR

Practice address

1825 E Broadway St
Forrest City, AR 72335-3409

Phone

(870) 630-2328

NPI assigned

Mar 22, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carol Brocato Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1013448000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 E BROADWAY ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723353409",
            "telephone_number": "870-630-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 E BROADWAY ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723353409",
            "telephone_number": "870-630-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCATO",
        "first_name": "CAROL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R094106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "BROCATO",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• David George Boyles, LPE-I
• Brandy Davis MD P a
• Justin Breezeel, PHARMD
• Jennifer Nicole Brewer, PA-C
• Kara Britt, SLP
• Alexis Brooks
• Jacqueline Leigh Brown, APRN
• Kathy Brown, THERAPIST
• Tamilya Brown
• Jacob Brumley

• All providers in Forrest City, AR
• Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.