John Robert Brokenshire, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS024189L Issued in PA

Practice address

769 Bloom Rd
Danville, PA 17821-1364

Phone

(570) 275-1451

Fax

(570) 271-1533

NPI assigned

Apr 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1508081332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 BLOOM RD",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178211364",
            "telephone_number": "570-275-1451",
            "fax_number": "570-271-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 BLOOM RD",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178211364",
            "telephone_number": "570-275-1451",
            "fax_number": "570-271-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROKENSHIRE",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS024189L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Eugene Brocious, D.O.
• Alessandra Brofferio, MD
• Michael C Brogna, M.D.
• Amy Lynne Brokenshire, PHARMD
• Ann Erin Brokenshire, DMD
• Oleg E. Bronov, M.D.
• Melvin L. Brooks Jr., CRNA
• Erika Bross, PA-C
• Barbara Lynn Brown, PHARM.D.
• Charles Stalnaker Brown, MD, MBA

• General Practice Dentistry in Danville, PA
• Providers in Danville, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.