Brooke L Bickford

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

336821 Issued in NY

Practice address

130 Hawthorne Ave
East Islip, NY 11730-1927

Phone

(516) 305-2859

NPI assigned

Sep 10, 2020

Last updated

Sep 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1275148926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HAWTHORNE AVE",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117301927",
            "telephone_number": "516-305-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HAWTHORNE AVE",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117301927",
            "telephone_number": "516-305-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKFORD",
        "first_name": "BROOKE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "336821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie G Bedard, M.A., LA
• Gina Marie Beltrami, RPA-C
• Sarah Elizabeth Berkowitz, DPT
• Suzanne Mary Bevis, LCSW
• Karen Ann Bianchi, RN
• Edward J Bieniewicz, MD
• Lauren Bilello, M.S., SLP
• Carol Grace Bishop, RN
• Stanley Blyskal, M.D.
• Julie Boerger, D.M.D.

• Licensed Practical Nurse in East Islip, NY
• Providers in East Islip, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.