Active NPI
Carol Lyn Brondsema, M.S.,B.A.
- Specialist
- Houston, TX
National Provider Identifier
1316205503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 1234 Bay Area Blvd
Houston, TX 77058-2538 - Phone
- (281) 488-7221
- NPI assigned
- Apr 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MI | Primary |
Addresses
Primary practice location
1234 Bay Area Blvd
Houston, TX 77058-2538
Mailing address
1234 Bay Area Blvd
Houston, TX 77058-2538
Phone (281) 488-7221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts, Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1316205503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 BAY AREA BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770582538",
"telephone_number": "281-488-7221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 BAY AREA BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770582538",
"telephone_number": "281-488-7221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRONDSEMA",
"first_name": "CAROL",
"middle_name": "LYN",
"credential": "M.S.,B.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-25",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.