Ronald Jerry Brookshire Jr., ADN RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

53713 Issued in SC

Practice address

513 Whitehall Rd
Anderson, SC 29625-2261

Phone

(864) 367-7247

NPI assigned

Oct 22, 2009

Sex

Male

Sole proprietor

Yes

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

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": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1164758306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 WHITEHALL RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296252261",
            "telephone_number": "864-367-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 WHITEHALL RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296252261",
            "telephone_number": "864-367-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKSHIRE",
        "first_name": "RONALD",
        "middle_name": "JERRY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "ADN RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "53713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James E. Britenburg, M.D.
• Jacqueline Brock, M.ED
• Tabitha Dawn Brock
• Bailey Brockelbank, MS, RDN, LD
• Hannah Marie Brooks, FNP-BC
• Brookside Lving Center, LLC
• Camille Hutchins Broom, LPC
• Broome Health Services, Inc.
• Joseph Kevin Broome, D.C.
• Anthony Jerome Brown

• Registered Nurse in Anderson, SC
• Providers in Anderson, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.