Active NPI
Robin Joyce Brocious, LPN
- Licensed Practical Nurse
- Glen Burnie, MD
National Provider Identifier
1669691895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LP19482
- Practice address
- 330 Oak Manor Dr
Glen Burnie, MD 21061-5509 - Phone
- (410) 222-6420
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP19482 | MD | Primary |
Addresses
Primary practice location
330 Oak Manor Dr
Glen Burnie, MD 21061-5509
Mailing address
407 Jerome Ave
Linthicum, MD 21090-2065
Phone (410) 684-2586
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP19482 | MD | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1669691895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 JEROME AVE",
"city": "LINTHICUM",
"state": "MD",
"postal_code": "210902065",
"telephone_number": "410-684-2586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 OAK MANOR DR",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615509",
"telephone_number": "410-222-6420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCIOUS",
"first_name": "ROBIN",
"middle_name": "JOYCE",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MD",
"license": "LP19482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.