Amber Nicole Brodbeck

Primary specialty

Neonatal Intensive Care Registered NurseTaxonomy code 163WN0002X

License

258304 Issued in GA

Practice address

417 W 3Rd Ave
Albany, GA 31701-1943

Phone

(229) 312-1000

Fax

(229) 312-5130

NPI assigned

Mar 12, 2020

Last updated

Mar 12, 2020By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1013543859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 W 3RD AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011943",
            "telephone_number": "229-312-1000",
            "fax_number": "229-312-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 W 3RD AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011943",
            "telephone_number": "229-312-1000",
            "fax_number": "229-312-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODBECK",
        "first_name": "AMBER",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "GA",
            "license": "258304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Alan Bridges, MD
• Vanessa Bridges
• Susan C. Brim, DR.
• Stacy Brock-Rowell, RDH
• Amy Brock, FNP
• Kelsey Bronson, LPC
• Kenterrious Brooks-Mims
• Darryl Lamar Brooks Jr., LCSWA
• James Michael Brooks, NP
• Leigh Wetherbee Brooks, LCSW

• Neonatal Intensive Care Registered Nurse in Albany, GA
• Providers in Albany, GA by specialty
• Neonatal Intensive Care Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.