Angela Emily Brodine, MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

5301 Hyland Greens Dr Apt 702
Bloomington, MN 55437-3909

Phone

(612) 231-1197

NPI assigned

Oct 23, 2019

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ashlee Secord

  • Marriage & Family Therapist
  • Burnsville, MN
  • NPI 1073902177

  Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1265075162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 HYLAND GREENS DR APT 702",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554373909",
            "telephone_number": "612-231-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 HYLAND GREENS DR APT 702",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554373909",
            "telephone_number": "612-231-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODINE",
        "first_name": "ANGELA",
        "middle_name": "EMILY",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brij Health LLC
• Luna Itzel Briones Sanchez
• Jordan Brisky
• Brian Bristol, DO
• Joshua Michael Brodersen, LAT, ATC
• Barbara Broker, MD
• Anna Joye Brokofsky, MD
• Lauren Broksieck, PA-C
• Anne M Brooker, PA-C
• David Robert Brooks, M.D.

• Professional Counselor in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.