Individual provider Active NPI

Christina Marie Brose, CNM

  • Advanced Practice Midwife
  • Charlotte, NC
National Provider Identifier
1588044911
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
800 Issued in NC
Practice address
6324 Fairview Rd Ste 430
Charlotte, NC 28210-3372
Phone
(704) 316-3148
Fax
(704) 316-3149
NPI assigned
Jun 1, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X R197308 MD
Advanced Practice Midwife 367A00000X 800 NC Primary

Addresses

Primary practice location

6324 Fairview Rd Ste 430
Charlotte, NC 28210-3372

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

4809 Greenbelt Rd
College Park, MD 20740-2001
Phone (301) 345-9325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151023001654 MD Practitioner - Certified Nurse Midwife (CNM) 2062721566 Reassigns benefits to 1 organization
I20210727001366 NC Practitioner - Certified Nurse Midwife (CNM) 2062721566 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R197308MDMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Oct 1, 2015 Accepting new patients
NMG Health Services, LLC CurrentSince Dec 1, 2022 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 1, 2021 Accepting new patients
Novant Health Medical Group LLC CurrentSince Jul 1, 2021 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Oct 1, 2015 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 1, 2021 Accepting new patients
NMG Health Services, LLC CurrentSince Dec 1, 2022 Accepting new patients
NMG Health Services LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 1, 2021 Accepting new patients
Novant Medical Group, Inc. Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients

Locations

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

7300 York Rd
Ste 201
Towson, MD 21204
Phone (410) 427-5337

6331 Carmel Rd
Ste 102
Charlotte, NC 28226
Phone (704) 316-2354

5370 Ridge Rd
Ste D1
Charlotte, NC 28269
Phone (704) 316-1581

6324 Fairview Rd
Ste 430
Charlotte, NC 28210
Phone (704) 316-3148

1918 Randolph Rd
Ste 670
Charlotte, NC 28207
Phone (704) 334-9535

5933 Blakeney Park Dr
Ste 100
Charlotte, NC 28277
Phone (704) 316-2021

15825 Ballantyne Medical Pl
Ste 200
Charlotte, NC 28277
Phone (704) 384-1925

1718 E 4th St
Ste 201
Charlotte, NC 28204
Phone (704) 384-0560

5325 Vinning St NW
Ste 101
Concord, NC 28027
Phone (704) 316-1040

7752 Gateway Ln NW
Ste 100
Concord, NC 28027
Phone (704) 316-4950

14330 Oakhill Park Ln
Ste 100
Huntersville, NC 28078

108 W Medical Park Dr
Lexington, NC 27292
Phone (336) 243-7054

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

1302 Lexington Ave
Thomasville, NC 27360
Phone (336) 475-6139

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: cbrose889200@direct.novanthealth.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1588044911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6324 FAIRVIEW RD STE 430",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103372",
            "telephone_number": "704-316-3148",
            "fax_number": "704-316-3149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4809 Greenbelt Rd",
            "address_purpose": "LOCATION",
            "city": "College Park",
            "state": "MD",
            "postal_code": "207402001",
            "country_code": "US",
            "telephone_number": "301-345-9325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROSE",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "R197308",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.