Elizabeth Brodin, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

423461 Issued in CA

Practice address

200 Mercy Circle
Camp Pendleton, CA 92055

Phone

(442) 222-8051

NPI assigned

Oct 19, 2021

Last updated

Oct 19, 2021By the provider in NPPES

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

Electronic endpoints 1

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": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1093478760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2321",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920512321",
            "telephone_number": "760-445-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MERCY CIRCLE",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "442-222-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODIN",
        "first_name": "ELIZABETH",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "423461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "httpS://camp-pendleton.tricare.mil",
            "affiliation": "N",
            "endpointDescription": "Hospital website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "200 Mercy Circle",
            "city": "Camp Pendleton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Justin Braun, MD
• Phillip George Brennan, MD
• Isaiah Xavier Brindamour, PA-C
• Kenneth Brinsko, MD
• Mary Broccoli, LCSW
• Gwendolyn Marie Brophy, MD
• Ann Marie Brown, LVN
• Dixon Seth Brown
• William Charles Brunner, M.D.
• Jeffrey Dale Bullock, PT

• Case Management Registered Nurse in Camp Pendleton, CA
• Providers in Camp Pendleton, CA by specialty
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.