Sharon Elizabeth Brodie, CRNP - PEDIATRICS

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R089082 Issued in MD

Practice address

8109 Ritchie Highway
Pasadena, MD 21122

Phone

(410) 590-8826

Fax

(410) 768-1949

NPI assigned

Jul 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other names 1

• Miss Sharon Elizabeth Bischoff Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639191471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8109 RITCHIE HIGHWAY",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "21122",
            "telephone_number": "410-590-8826",
            "fax_number": "410-768-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8109 RITCHIE HIGHWAY",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "21122",
            "telephone_number": "410-590-8826",
            "fax_number": "410-768-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODIE",
        "first_name": "SHARON",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "CRNP - PEDIATRICS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R089082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PNCB",
            "identifier": "83014",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBON",
            "identifier": "R089082",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "BISCHOFF",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "credential": "CRNP - PEDIATRICS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Herbert J Bradford Jr., D.C.
• Jayme K Brenneman, LCSW-C
• Joseph Osler Brice, D.P.M.
• Kimberly Broadie, OT
• Mackenzie Brode, PHARMD
• Francesca Ingrid Brooks
• Shontell A Brooks, NP-C
• Rachel Brown, R.D.
• Amber Brubaker
• Amy Brumme, CRNP

• Pediatric Nurse Practitioner in Pasadena, MD
• Providers in Pasadena, MD by specialty
• Pediatric Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.