CHELSEA BROCKWAY (NPI# 1609200054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609200054 |
| Entity Type | Individual |
| Full Name | CHELSEA BROCKWAY |
| Practice Address |
3611 1st St E Ste 530 Bradenton FL 34208-4423 |
| Practice Telephone | 9417467460 |
| Mailing Telephone | 9417467460 |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2019-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DRP1183 | FL | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DN20729 | FL | Dental Providers |
| Street Address |
3611 1ST ST E STE 530 |
| City | BRADENTON |
| State | FL |
| Zip Code | 34208-4423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880566 | Michael Gerard Kulikowski | Pharmacist | 6225 E Sr 64, Bradenton, FL 34208 | 2020-10-30 |
| 1104431964 | Genesis Carrillo | Pharmacist | 4210 E, Fl-64, Bradenton, FL 34208 | 2020-09-09 |
| 1962960146 | Elite Surgery Center, LLC | Plastic Surgery | 5301 4th Ave Circle E, Bradenton, FL 34208 | 2019-03-07 |
| 1740777101 | Chinelo Uche | Student in an Organized Health Care Education/Training Program | 206 2nd St. E, Brandenton, FL 34208 | 2018-04-20 |
| 1396240040 | Nicholas Guy Ross | Student in an Organized Health Care Education/Training Program | 206 2nd St E., Bradenton, FL 34208 | 2018-03-26 |
| 1881196566 | Pinnacle Dental, Inc | Dentist | 5220 4th Ave. Circle E., Bradenton, FL 34208 | 2018-03-08 |
| 1194240176 | Bradenton Community Acupuncture | Acupuncturist | 5245 Office Park Blvd Suite 103, Bradenton, FL 34208 | 2017-08-10 |
| 1316490147 | Loretta Michele Deloach | Counselor | 515 27th St. S., Ste. 3, Bradenton, FL 34208 | 2016-07-28 |
| 1730548934 | Elodie Chimuanya Epane Kamdem | Dentist | Bright Now Dentalst, 650, 3611 1st Street, Suiyr, Bradenton, FL 34208 | 2016-02-16 |
| 1215303920 | Lesley Ann White | Driver | 45 Palmwood, Bradenton, FL 34208 | 2015-08-17 |
| Find all providers in zip 34208 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790273159 | Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch Pll | Dentist | 11649 Sr 70 East, Suite 109, Bradenton, FL 34202 | 2018-05-01 |
| 1992112353 | Meadows Family Dentistry, LLC | Dentist | 9912 Sr 64, Bradenton, FL 34212-5303 | 2014-07-17 |
| 1740304633 | James Aubrey Morrish Jr. | Dentist | 708 43rd St W, Bradenton, FL 34209-3921 | 2007-03-18 |
| 1942345160 | Alan D. Shoopak D.m.d.,p.a. | Dentist | 3611 1st St Ste 530, Bradenton, FL 34208-4423 | 2007-02-21 |
| 1760538904 | Ronald S. Acquaro, D.m.,d.,pa | Dentist | 5714 21st Ave W, Bradenton, FL 34209-5606 | 2007-01-27 |
| 1265509772 | Melissa L Schindel-kaplan | Dentist | 9090 58th Dr E, Suite 100, Bradenton, FL 34202-6112 | 2006-11-29 |
| 1396828984 | Jeffrey S Thompson | Dentist | 4008 9th Ave W, Bradenton, FL 34205-1706 | 2006-10-24 |
| 1922021294 | Steven H Tinsworth | Dentist | 1500 59th St W, Bradenton, FL 34209-4634 | 2006-07-26 |
| 1841484250 | Daniel Allen Stewart | Dentist | 708 43rd St W, Bradenton, FL 34209-3921 | 2007-08-29 |
| 1003952680 | Gerald Michael Francati | Dentist | 5714 21st Ave W, Bradenton, FL 34209-5606 | 2007-01-30 |
| Find all providers in BRADENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.