Active NPI
Brookview Medical Associates, PLLC
- General Practice Physician
- Bohemia, NY
National Provider Identifier
1871965855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- BROOKVIEW MEDICAL ASSOCIATES, PLLC
- Practice address
- 80 Orville Dr Ste 100
Bohemia, NY 11716-2505 - Phone
- (972) 715-3800
- NPI assigned
- Oct 29, 2015
- Last updated
- Aug 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Shawn Bronke
- Title
- Provider Enrollment Manager
- Phone
- (469) 909-6746
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NU | ||
| General Practice Physician | 208D00000X | NU | Primary | |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
80 Orville Dr Ste 100
Bohemia, NY 11716-2505
Mailing address
4055 Valley View LN Ste 700
Dallas, TX 75244-5045
Phone (469) 909-6746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2118847 | Brookview Medical Associates PLLC | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 828
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787875200000",
"number": "1871965855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4055 VALLEY VIEW LN STE 700",
"city": "DALLAS",
"state": "TX",
"postal_code": "752445045",
"telephone_number": "469-909-6746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 ORVILLE DR STE 100",
"city": "BOHEMIA",
"state": "NY",
"postal_code": "117162505",
"telephone_number": "972-715-3800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKVIEW MEDICAL ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-29",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A",
"authorized_official_last_name": "BRONKE",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "SHAWN",
"authorized_official_title_or_position": "PROVIDER ENROLLMENT MANAGER",
"authorized_official_telephone_number": "469-909-6746"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bohemia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.