Bonnie Jean Broek, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

1302 Madera Rd Ste 2
Simi Valley, CA 93065-4019

Phone

(805) 404-8082

NPI assigned

Oct 22, 2018

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)

Enrolled

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1376019943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 MADERA RD STE 2",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930654019",
            "telephone_number": "805-404-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 MADERA RD STE 2",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930654019",
            "telephone_number": "805-404-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROEK",
        "first_name": "BONNIE",
        "middle_name": "JEAN",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Breckley, PT
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• Micaela Romina Brikman Navarro
• Brooks Doberne Pattanachinda a Med Corp
• Renee Brooks, M.A., L.M.F.T 112480
• Stewart I Brooks, MD
• Brooks, Tashman, Medical Corporation
• Carole Lee Brookshire, MFT 115869

• Registered Dietitian in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.