Brooke B Bignall
Individual provider Active NPI Family Nurse Practitioner · Massapequa, NY
NPI 1194574830 · NPPES record last updated May 15, 2024
Key facts
- NPI
- 1194574830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F351790 (NY)
- Practice address
- 4150 Sunrise Hwy
Massapequa, NY 11758-5303 - Phone
- (516) 663-6400
- Fax
- (516) 307-8840
- NPI assigned
- May 15, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F351790 | NY | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F351790 | NY | Yes |
Addresses
Primary practice location
4150 Sunrise Hwy
Massapequa, NY 11758-5303
Mailing address
PO Box 310
Plainview, NY 11803-0310
Phone (516) 663-6400
Other providers in Massapequa, NY
- Dean Berman
- Kyle Daniel Berna
- Leslie Anne Bernstein
- Paul Barry Bernstein
- Bethpage Medical PLLC
- MD Masud Billah
- Biltmore Family Pharmacy Inc.
- Kaylamarie Bimonte
- Elizabeth Binckes
- Davese Deomi Black
All providers in Massapequa, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2024. 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.