Deborah Brabham, PHD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

RN2057692 Issued in FL

Practice address

10990 Lydia Estates Dr E
Jacksonville, FL 32218-6940

Phone

(904) 891-8706

NPI assigned

Jul 9, 2019

Last updated

Jul 9, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Deborah Brabham Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1639721772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10990 LYDIA ESTATES DR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186940",
            "telephone_number": "904-891-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10990 LYDIA ESTATES DR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186940",
            "telephone_number": "904-891-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRABHAM",
        "first_name": "DEBORAH",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "RN2057692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "BRABHAM",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brianna Bozeman, BSN, RN
• Valerie D Bozeman
• David Wayne Bozosi
• BPM Services of Jacksonville (Homehelpers)
• Jeremy Brabandt, PT
• Ronald J Brace, MD
• Verna Bracey-Bradshaw, MS
• Alorah Dane Bracken
• Dominic Jospeh Bracken, PHARMD
• Lacey Dennis Bracken, MS,LAT,ATC

• General Practice Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.