Maureen O'Neill Brodbeck, R.T. (M)

Primary specialty

Mammography Radiologic TechnologistTaxonomy code 2471M2300X

License

CRT11706 Issued in FL

Practice address

114 Lake Arbor Dr
Palm Springs, FL 33461-2103

Phone

(561) 967-6535

NPI assigned

Jan 8, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1265617260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 LAKE ARBOR DR",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612103",
            "telephone_number": "561-967-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 LAKE ARBOR DR",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612103",
            "telephone_number": "561-967-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODBECK",
        "first_name": "MAUREEN",
        "middle_name": "O'NEILL",
        "name_prefix": "Ms.",
        "credential": "R.T. (M)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471M2300X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Mammography",
            "state": "FL",
            "license": "CRT11706",
            "primary": true
        },
        {
            "code": "2471M2300X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Mammography",
            "state": "MA",
            "license": "14209",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Elizabeth Brookley, ARNP
• Charles Edward Brooks, CAP
• Tiffani Briana Brooks
• Lionel Chris Brown
• Paul Bryan, PHD

• Mammography Radiologic Technologist in Palm Springs, FL
• Providers in Palm Springs, FL by specialty
• Mammography Radiologic Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.