Vivian Marie Broadway-Firmage, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42033 Issued in CA

Practice address

141 Camino Alto
Suite 2
Mill Valley, CA 94941-2246

Phone

(415) 388-6025

Fax

(415) 388-1431

NPI assigned

Sep 12, 2005

Last updated

Jul 13, 2026By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 15, 2015 through Jun 15, 2027

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114911617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 CAMINO ALTO",
            "address_2": "SUITE 2",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412246",
            "telephone_number": "415-388-6025",
            "fax_number": "415-388-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 CAMINO ALTO",
            "address_2": "SUITE 2",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412246",
            "telephone_number": "415-388-6025",
            "fax_number": "415-388-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADWAY-FIRMAGE",
        "first_name": "VIVIAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Christine Brent, N.D.
• Lawrence Brent Brilliant, M.D.
• Mary Rachel Brinker, D.M.D.
• Julie Brinkman
• Marti J Briscoe, PSY.D.
• Amie Brooke, LIC. AC.
• Thomas Brookshire, P.A.
• Jonathan Brown, PHD, MFT
• Madison Brown, DDS
• Bryan Abrams DDS, PC

• General Practice Dentistry in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.