Marie M Brazile

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2273751 Issued in NY

Practice address

89 Bartlett St
Brooklyn, NY 11206-4463

Phone

(718) 387-8181

NPI assigned

Jun 26, 2018

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": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1780179382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8824 MERRICK BLVD APT 2E",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324112",
            "telephone_number": "201-518-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 BARTLETT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064463",
            "telephone_number": "718-387-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZILE",
        "first_name": "MARIE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "2273751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie A Bravo
• Kerry S Bray, CCC SLP
• Theresa Mary Bray, RN
• Sofia Elizabeth Braylovsky, RPA-C
• Jared Michael Brazg, M.D.
• Selena Brazley, LCSW
• Ashley Brea, MD
• Frantz Emmanuel Brea, M.D.
• Break Free
• Breakthrough Solutions Worldwide Inc.

• All providers in Brooklyn, NY
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.