Individual provider Active NPI

Brenda Luisa Brathwaite, CMN

  • Midwife
  • Ny, NY
National Provider Identifier
1427100577
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
000502 Issued in NY
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

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
000502NYMDBehavioral Analyst
388500 1NYMDRegistered Nurse

Practice roles (2 of 6)

OrganizationSpecialtyStatusNew patients
Morris Heights Health Center, Inc. CurrentSince Jan 16, 2018 Accepting new patients
Morris Heights Health Center, Inc. CurrentSince Jan 16, 2018 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.

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

Verify at the official NPI Registry.