Bridget Brodie

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

0001275856 Issued in VA

Practice address

1823 Mount Vernon Rd SW
Roanoke, VA 24015-2906

Phone

(703) 945-9857

NPI assigned

Jan 13, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Havener Ventures LLC

  • Lactation Consultant (Non-RN)
  • Roanoke, VA
  • NPI 1710510045
  NPD (past)

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1538810239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 MOUNT VERNON RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240152906",
            "telephone_number": "703-945-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 MOUNT VERNON RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240152906",
            "telephone_number": "703-945-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODIE",
        "first_name": "BRIDGET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "VA",
            "license": "0001275856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "0001275856",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBCLC",
            "identifier": "L-301163",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clara Anna Britton, RDN
• Shari Lynn Brizendine
• Alfonso D Brochero, MD
• Tina Kathryn Brockman, PHARMD
• Nicole M Broden, MD
• Monica Brogan, CSAC, MSW
• Taylor Rae Brogan, FNP-C
• Scout Bromfield
• Spencer Brookbank, ED.S., NCSP
• Ashlee Elizabeth Brooker, MD

• Lactation Consultant (Registered Nurse) in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Lactation Consultant (Registered Nurse) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.