Individual provider Active NPI

Donald Thomas Noah Redstone-Brophy, RN

  • Prevention Professional
  • Philadelphia, PA
National Provider Identifier
1710669379
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
License
RN568926 Issued in PA
Practice address
1235 Spring Garden St
Philadelphia, PA 19123-3206
Phone
(215) 769-3561
NPI assigned
Aug 3, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prevention Professional 405300000X RN568926 PA Primary

Addresses

Primary practice location

1235 Spring Garden St
Philadelphia, PA 19123-3206

Mailing address

1235 Spring Garden St
Philadelphia, PA 19123-3206
Phone (215) 769-3561

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN568926PAMDPrevention Professional

Practice roles

OrganizationSpecialtyStatusNew patients
Bebashi Transition to Hope CurrentSince Aug 6, 2023 Accepting new patients
Bebashi Transition to Hope PastSince Aug 6, 2023 Accepting new patients

Locations

1235 Spring Garden St
Philadelphia, PA 19123
Phone (215) 769-3561

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1710669379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 SPRING GARDEN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233206",
            "telephone_number": "215-769-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 SPRING GARDEN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233206",
            "telephone_number": "215-769-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDSTONE-BROPHY",
        "first_name": "DONALD THOMAS",
        "middle_name": "NOAH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "PA",
            "license": "RN568926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.