Gwendolyn Broyles

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

167 Nickerson Ave
Benton Harbor, MI 49022-6600

Phone

(269) 926-6784

NPI assigned

Jul 30, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1174406789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 NICKERSON AVE",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490226600",
            "telephone_number": "623-340-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 NICKERSON AVE",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490226600",
            "telephone_number": "269-926-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROYLES",
        "first_name": "GWENDOLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belinda Faye Brown, LPN
• Charmaine Brown
• Elaine Gordon Brown, BSW
• Julie Kay Brown, LMSW
• Shawna Brown
• Emily Bublick
• Susan M Bublick, P.A.
• Damonica Buford, CNA
• Javonna Bullocks
• Quionna M Bullocks

• Home Health Agency in Benton Harbor, MI
• Providers in Benton Harbor, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.