Bailey Lynn Brokmeier

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5856-27 Issued in WI

Practice address

634 Center St
Black Earth, WI 53515-9544

Phone

(877) 252-4469

NPI assigned

Oct 13, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1570924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570924800000",
    "number": "1699317495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 PANTHER CT",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "531901566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 CENTER ST",
            "city": "BLACK EARTH",
            "state": "WI",
            "postal_code": "535159544",
            "telephone_number": "877-252-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROKMEIER",
        "first_name": "BAILEY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-13",
        "last_updated": "2019-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "5856-27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ballweg-Roseno
• Black Earth Chiropractic LLC
• Judith Boss, MA/CCC-SLP
• Abby Jo Cabrera, MS, CCC-SLP
• Maria Coffey, R.D.H.
• Nicole Ducharme, D.C.
• Melinda A Heathcote, R.D.H.
• Hegerfeld Chiropractic LLC

• Occupational Therapy Assistant in Black Earth, WI
• Providers in Black Earth, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.