Brent Fondshay Broome, CNA
Individual provider Active NPI Attendant Care Provider · Moselle, MS
NPI 1144548744 · NPPES record last updated Jan 17, 2026
Key facts
- NPI
- 1144548744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- Practice address
- 6 David Patterson Rd
Moselle, MS 39459 - Phone
- (601) 596-3786
- NPI assigned
- May 7, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | MS | ||
| Attendant Care Provider | 3747A0650X | MS | Yes |
Addresses
Primary practice location
6 David Patterson Rd
Moselle, MS 39459
Mailing address
6 David Patterson Rd
Moselle, MS 39459-9439
Phone (601) 596-3786
Other providers in Moselle, MS
- Arden Health LLC
- Kimberly Shere Bennett
- Sarah Bienvenu
- Deanna Carole Boyette
- Ashley Bozeman
- Carol Brown
- Alayna Bryant
- Andrea C Buckley
- Jessica Chaney
- Cassie Cochran
All providers in Moselle, MS · Attendant Care Provider in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.