Active NPI
Brenda Luisa Brathwaite, CMN
- Midwife
- Ny, NY
National Provider Identifier
1427100577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 000502
- Practice address
- 1111 Amsterdam Ave Clark 2
Ny, NY 10025 - Phone
- (212) 523-5587
- Fax
- (212) 523-1723
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 388500 1 | NY | |
| Midwife | 176B00000X | 000502 | NY | Primary |
Addresses
Primary practice location
1111 Amsterdam Ave Clark 2
Ny, NY 10025
Mailing address
620 E 20TH St Apt 3a
Ny, NY 10009
Phone (212) 995-2477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000502 | NY | MD | Behavioral Analyst |
| 388500 1 | NY | MD | Registered Nurse |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morris Heights Health Center, Inc. | Current | Accepting new patients | |
| Morris Heights Health Center, Inc. | Current | Accepting new patients |
Locations
85 W Burnside Ave
Bronx, NY 10453
Phone (718) 483-1270
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1104374685
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1184694291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1427100577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 E 20TH ST APT 3A",
"city": "NY",
"state": "NY",
"postal_code": "10009",
"telephone_number": "212-995-2477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 AMSTERDAM AVE CLARK 2",
"city": "NY",
"state": "NY",
"postal_code": "10025",
"telephone_number": "212-523-5587",
"fax_number": "212-523-1723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRATHWAITE",
"first_name": "BRENDA",
"middle_name": "LUISA",
"name_prefix": "Ms.",
"credential": "CMN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "388500 1",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NY",
"license": "000502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ny, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.