Clancy Omokhodion Bropleh

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

9587499 Issued in FL

Practice address

7127 Panther Ridge Dr
Spring, TX 77389-1661

Phone

(401) 835-4295

NPI assigned

Jan 16, 2023

Last updated

Jan 16, 2023By the provider in NPPES

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

Electronic endpoints 1

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": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1275248197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7127 PANTHER RIDGE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773891661",
            "telephone_number": "401-835-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7127 PANTHER RIDGE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773891661",
            "telephone_number": "401-835-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROPLEH",
        "first_name": "CLANCY",
        "middle_name": "OMOKHODION",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "FL",
            "license": "9587499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "internet",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7127 Panther Ridge Dr",
            "city": "Spring",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773891661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jada Brooks
• Jonah Devuan Brooks, LMT
• Lacey Brooks, AU.D.
• Tylar Brooks
• Brookshire Brothers LTD (Brookshire Brothers Pharmacy)
• Shada Broughton
• Crystal R Broussard, MD
• Laura Gisclair Broussard, MS, CCC-SLP
• Lindsey Broussard
• Patricia S. Broussard, MS, LMFT

• Administrator Registered Nurse in Spring, TX
• Providers in Spring, TX by specialty
• Administrator Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.