Sally C Brossman, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN004568 Issued in PA

Practice address

2015 Technology Pkwy
Mechanicsburg, PA 17050-9414

Phone

(717) 791-2546

Fax

(717) 221-5299

NPI assigned

Jul 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1306368253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST STE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612",
            "telephone_number": "717-657-7301",
            "fax_number": "717-657-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 TECHNOLOGY PKWY",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509414",
            "telephone_number": "717-791-2546",
            "fax_number": "717-221-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSSMAN",
        "first_name": "SALLY",
        "middle_name": "C",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": "PA",
            "license": "DN004568",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN004568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103344993",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbrossman54860@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2015 Technology Pkwy",
            "city": "Mechanicsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170509414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Marie Brimmer, MA, LPC, NCC
• Saffron Brocious
• Barbara Ginsburg Bronitsky, MD
• Andrew Michael Brooks
• Fatimah Brooks
• John Robert Brow, DC, DACNB, CNS, CRNP
• Brianna Brown
• Kate M Brown, CRNP
• Peter R. Brown, D.M.D.
• Karin Brownawell, LCSW

• Registered Dietitian in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.