Neil Howard Brofman, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

16398 Issued in OH

Practice address

32001 Vine St
Willowick, OH 44095-3572

Phone

(440) 944-3000

Fax

(440) 944-0881

NPI assigned

Apr 20, 2007

Sex

Male

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Andrew J. Strobel D.D.S., Inc

  • Dentist
  • Willowick, OH
  • NPI 1366609695
  NPD (past)
• Center for Dental Health

  • Dentist
  • Willowick, OH
  • NPI 1164973533
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881811768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32001 VINE ST",
            "city": "WILLOWICK",
            "state": "OH",
            "postal_code": "440953572",
            "telephone_number": "440-944-3000",
            "fax_number": "440-944-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32001 VINE ST",
            "city": "WILLOWICK",
            "state": "OH",
            "postal_code": "440953572",
            "telephone_number": "440-944-3000",
            "fax_number": "440-944-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROFMAN",
        "first_name": "NEIL",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "16398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloommore Services LLC
• Nana Yaw Boamah-Mensah, DDS
• Tiarah Lasha Brasmon, RN
• Angela Brinkman, DO
• Dawn Britsky
• Marquetta Sheneen Brown, STNA
• Tiffany Burns
• BV Optical
• C R Decastecker OD Inc
• Adam Edward Carroll

• Dentist in Willowick, OH
• Providers in Willowick, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.