Brotman Medical Center, Inc

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

License

930000022 Issued in CA

Legal business name

BROTMAN MEDICAL CENTER, INC

Practice address

3828 Delmas Terrace
Culver City, CA 90232-2713

Phone

(310) 836-7000

Fax

(310) 840-4141

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Von Crockett

Title

President Ceo

Phone

(310) 836-7000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1063500205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3828 DELMAS TERRACE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322713",
            "telephone_number": "310-836-7000",
            "fax_number": "310-840-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 DELMAS TERRACE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322713",
            "telephone_number": "310-836-7000",
            "fax_number": "310-840-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTMAN MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "CROCKETT",
        "authorized_official_first_name": "VON",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "310-836-7000"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "CA",
            "license": "930000022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaylyn Alyse Broadway, AMFT
• Paul J. Brody, D.P.M.
• Christine S Brokaw
• Dawn Brooks
• India Sheree Brooks
• Brotman Medical Center, Inc.
• Brotman Medical Center, Inc.
• Brotman Medical Center, Inc.
• Brotman Medical Center, Inc.
• Lauren Broussard

• Rehabilitation Hospital Unit in Culver City, CA
• Providers in Culver City, CA by specialty
• Rehabilitation Hospital Unit in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.