Gina Marie Brodbeck, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

520042-1 Issued in NY

Practice address

17 Hays Ave
Kirkwood, NY 13795-1418

Phone

(607) 759-8682

NPI assigned

Jun 3, 2019

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1043878309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 SULLIVAN RD",
            "city": "KIRKWOOD",
            "state": "NY",
            "postal_code": "137951702",
            "telephone_number": "607-760-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 HAYS AVE",
            "city": "KIRKWOOD",
            "state": "NY",
            "postal_code": "137951418",
            "telephone_number": "607-759-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODBECK",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "520042-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Ann Adams, REGISTERED NURSE
• John Adams
• Amber Lynn Benjamin, PT, DPT
• Laura Hope Bird, OTR
• Mary K Blessing, SPED
• Meghan Brown, MS, CCC-SLP
• Amy Sue Brulla, LPN
• Rebecca J. Burden, M.S., CCC-SLP
• Linda Cady, LPN
• Erinn E Carpenter, LP

• Registered Nurse in Kirkwood, NY
• Providers in Kirkwood, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.