Active NPI
Glenn Brosnick
- Durable Medical Equipment & Medical Supplies
- Sunrise, FL
National Provider Identifier
1467807214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Practice address
- 777 Shotgun Rd
Sunrise, FL 33326-1940 - Phone
- (954) 224-2557
- Fax
- (800) 219-7213
- NPI assigned
- Apr 29, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
777 Shotgun Rd
Sunrise, FL 33326-1940
Mailing address
777 Shotgun Rd
Sunrise, FL 33326-1940
Phone (954) 224-2557
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461888000000",
"number": "1467807214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 SHOTGUN RD",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333261940",
"telephone_number": "954-224-2557",
"fax_number": "800-219-7213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 SHOTGUN RD",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333261940",
"telephone_number": "954-224-2557",
"fax_number": "800-219-7213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROSNICK",
"first_name": "GLENN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-29",
"last_updated": "2016-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunrise, FL
- Alexis Broderick
- Benjamin J Brody, HAS, BC-HIS
- Marcellous Brookins
- Maria Brooks, LCSW
- Shannon Kristine Brooks, APRN, NNP-BC
- Broward Family Dental Care, Inc.
- Broward General Oncology Associates
- Broward Health & Rehab Corporation
- Broward Internal Medicine P a
- Broward-Palm Beach Home Care Services, Inc. (Home Helpers & Direct Link of Broward and Palm Beach)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.