Crystal Lee Broley, CNRP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

SP019631 Issued in PA

Practice address

3911 Saw Mill Run Blvd
Pittsburgh, PA 15227

Phone

(412) 885-2000

NPI assigned

Dec 21, 2018

Sex

Female

Sole proprietor

No

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.

• Altheda PC

  • Pediatrics Physician
  • MC Kees Rocks, PA
  • NPI 1699458042

  Pediatrics

  NPD (past)
• Steel City South Pediatrics

  • Pediatrics Physician
  • Pittsburgh, PA
  • NPI 1023175049

  Pediatrics

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 21, 2018.

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1609348127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 4TH ST",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150252491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 SAW MILL RUN BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15227",
            "telephone_number": "412-885-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROLEY",
        "first_name": "CRYSTAL",
        "middle_name": "LEE",
        "credential": "CNRP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "SP019631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Nicole Brodland, PA-C
• Alexis Marie Brody
• Mark George Brody, D.M.D
• Tobias Broering, MD
• Caitlin Brokenshire, DMD, MPH
• Suzanne Marie Brom
• Holly Anna Bronder
• Jacqueline Bronfman, PHARMD
• Elizabeth Bronson, ATC
• Kayla Marie Bronzo

• All providers in Pittsburgh, PA
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.