Rebecca Ann Broz

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

803 5TH Ave NW
Pine City, MN 55063-1024

Phone

(320) 296-0900

NPI assigned

May 16, 2018

Last updated

May 16, 2018By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1689164527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 5TH AVE NW",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550631024",
            "telephone_number": "320-296-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 5TH AVE NW",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550631024",
            "telephone_number": "320-296-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROZ",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadie Christine Binger, RN
• Christina M Blaiser, R.N.
• Joel Steven Blomberg, DC
• Michael Bousu, MA, LMFT
• Larry Brackenbury
• Kelly Ann Buchta, MSW, LICSW
• Sarah L Busch, LPCC
• Amber L Callahan, PHARMD.
• Carrie Carlson, DDS
• Kathleen A Caron, LICSW

• Student in an Organized Health Care Education/Training Program in Pine City, MN
• Providers in Pine City, MN by specialty
• Student in an Organized Health Care Education/Training Program in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.