Vida Brobbey, NP C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F334448 Issued in NY

Practice address

2390 Tiebout Ave Apt 5B
Bronx, NY 10458-7327

Phone

(718) 873-5333

Fax

(718) 733-8030

NPI assigned

Feb 21, 2014

Sex

Female

Sole proprietor

Yes

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

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1780009100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 TIEBOUT AVE APT 5B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104587327",
            "telephone_number": "718-873-5333",
            "fax_number": "718-733-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 TIEBOUT AVE APT 5B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104587327",
            "telephone_number": "718-873-5333",
            "fax_number": "718-733-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROBBEY",
        "first_name": "VIDA",
        "credential": "NP C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F334448",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F334448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matilde Broadbent, MSED
• Broadway Dental
• Broadway Eyecare Inc
• Margaret Brobbey, COTA
• Nana Ama Brobbey, RN
• Keisha Brockington
• Rhonda Brockington, FNP
• Brianna Paulette Brockman
• Taja M Brockman
• Molly C Broder, MD

• Family Nurse Practitioner in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.