Christine Bomeisl Brown

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT002476 Issued in GA

Practice address

116 Forrest Ave
Cartersville, GA 30120-3640

Phone

(770) 382-3206

Fax

(770) 382-3276

NPI assigned

Nov 14, 2006

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

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cathleen Shepherd

  • Occupational Therapist
  • Cartersville, GA
  • NPI 1841355898
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1104998160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 SADLER DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300805815",
            "telephone_number": "770-426-5708",
            "fax_number": "770-434-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 FORREST AVE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203640",
            "telephone_number": "770-382-3206",
            "fax_number": "770-382-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHRISTINE",
        "middle_name": "BOMEISL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT002476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52825966 003",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52825966 002",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "312665",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52825966 001",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEACH STATE HEALTH PLAN",
            "identifier": "000835436A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000835436A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10035959",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Scott Broggi, MD
• Laura Beth Brown Meisenheimer, DPT
• Andrea Brown
• Ashlee Brown, MSN, PMHNP-BC
• Camille J Brown, FNP
• Donald Franklin Brown Jr., ATC;LAT
• Larry Ray Brown, O.D.
• Milton Brown Jr., LCSW
• Jacque Brownlow
• Alan W Brue, PHD

• Occupational Therapist in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.