Cheryl E Brabham, M.S.ED

Primary specialty

SpecialistTaxonomy code 174400000X

License

584991112 Issued in NY

Practice address

19109 120TH Rd
Saint Albans, NY 11412-3618

Phone

(718) 949-1966

Fax

(718) 949-1966

NPI assigned

Feb 14, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1134492606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19109 120TH RD",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114123618",
            "telephone_number": "718-949-1966",
            "fax_number": "718-949-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19109 120TH RD",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114123618",
            "telephone_number": "718-949-1966",
            "fax_number": "718-949-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRABHAM",
        "first_name": "CHERYL",
        "middle_name": "E",
        "credential": "M.S.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "584991112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tesha Bonner-Flowers, RN
• Indira Bonny, LPN
• Nancy Boucicault
• Ashlie Bourne
• Ayanna Brabham, MSED
• Josette Iola Brand, MSOTR/L
• Conetta Embodu Natasha Brantch
• Kim Iona Bravo, MINISTER OF RELIGION
• Bridgett Buckery LCSW PLLC
• Peter Briskie, OTR/L

• Specialist in Saint Albans, NY
• Providers in Saint Albans, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.