Brooke Elizabeth Bubolz, RD, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601014346 Issued in MI

Practice address

1349 S Rochester Rd Ste 210
Rochester Hills, MI 48307-3152

Phone

(248) 844-2700

NPI assigned

Oct 3, 2025

Last updated

Sep 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Physician Assistant

State licenses

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

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789862400000",
    "number": "1922972793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 S ROCHESTER RD STE 210",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073152",
            "telephone_number": "248-844-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 S ROCHESTER RD STE 210",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073152",
            "telephone_number": "248-844-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUBOLZ",
        "first_name": "BROOKE",
        "middle_name": "ELIZABETH",
        "credential": "RD, PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-03",
        "last_updated": "2026-09-20",
        "certification_date": "2026-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601014346",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillian Ojetta Brown, LMSW
• Melanie Ann Minard Brown, MOT
• Amanda Browning
• Daniel P Browning, MD
• Bria Simone Bryant, MA, LPC, SCL
• Joel E Buchanan, MD
• Jessica Ann Buchheister, LMSW
• Alexandra Vonbehren Buck, MOT
• Erin Buerschen
• Emi Bulica, MD

• Physician Assistant in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2026; 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.