DR. GWENDOLYN ELIZABETH BROBBEY (NPI# 1801833744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801833744 |
| Entity Type | Individual |
| Full Name | DR. GWENDOLYN ELIZABETH BROBBEY |
| Credential | MD, MPH |
| Practice Address |
1915 Lakefront Dr Missouri City TX 77459-1651 |
| Mailing Address |
11511 Shadow Creek Pkwy Pearland TX 77584-7298 |
| Practice Telephone | 2819698860 |
| Mailing Telephone | 7134420000 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | G0899 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 121542805 | 05 | |
| ECFMG NUMBER | 236-282-0 | 01 | |
| NPI | 1801833744 | 01 | |
| TX | ST. BD OF MED EXAMINERS | G0899 | 01 |
| TRICARE PROV ID NUMBER | 42069533001 | 01 | |
| TX | BCBS PROV. NUMBER | 00000034JV | 01 |
| AETNA PIN | 0007929017 | 01 | |
| TX | 121542806 | 05 | |
| TX | 121542810 | 05 | |
| ECFMG | 236-282-0 | 01 | |
| MA | MASS BD OF REGISTRATION | 48268 | 01 |
| AETNA PROV NUMBER | 3056377 | 01 | |
| CIGNA PRV ID NUMBER | 412069533 0001 | 01 | |
| CLIA CERT. OF WAIVER | 45D1007578 | 01 | |
| FEDERAL DEA NUMBER | BB1429148 | 01 | |
| VA | AMERIGROUP PROV ID NUMBER | 10018140 | 01 |
| AMERICAN BD OF PEDIATRICS | 31381 | 01 | |
| TX | 121542809 | 05 | |
| TX | 121542811 | 05 | |
| TX | STATE DPS NUMBER | S0045716 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2727 W Holcombe Blvd, Houston, TX 770251669 | 7134420000 |
| Street Address |
1915 LAKEFRONT DR |
| City | MISSOURI CITY |
| State | TX |
| Zip Code | 77459-1651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801338256 | Genbey Consulting, Pllc | Clinic/Center | 1915 Lakefront Dr, Missouri City, TX 77459-1651 | 2016-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801337 | Dynamik Transformations, LLC | Social Worker | 3522 Duncaster Dr, Missouri City, TX 77459 | 2020-11-03 |
| 1720606163 | Wonderfully Made Pediatrics, Pllc | Pediatrics | 8035 Highway 6 Ste 100, Missouri City, TX 77459 | 2020-07-13 |
| 1326608522 | Kyle Macdonald | Counselor | 9029 Sienna Ranch Road, Missouri City, TX 77459 | 2019-06-19 |
| 1275004947 | Andrea Christina Bland | Case Manager/Care Coordinator | 3426 Covey Trail Dr, Missouri City, TX 77459 | 2018-12-06 |
| 1477035814 | Golden Williams | Registered Nurse | 4502 Riverstone Boulevard, Missouri City, TX 77459 | 2018-09-01 |
| 1457831216 | Tania Leida Karmout | Physical Therapist | 4710 Lexington Boulevard, Missouri City, TX 77459 | 2018-08-20 |
| 1457831513 | Laila Dalope | Clinic/Center | 811 Sienna Springs Blvd, 521, Missouri City, TX 77459 | 2018-08-17 |
| 1477039196 | Tionyce Johnson | Behavior Technician | 3552 Fm 1092, Missouri City, TX 77459 | 2018-07-16 |
| 1861990681 | Nitta Ogu | Nurse Practitioner | 3631 John Hancock Lane, Missouri City, TX 77459 | 2018-01-26 |
| 1881100998 | Higden Dialysis LLC | Clinic/Center | 9340 Highway 6, Suite 400, Missouri City, TX 77459 | 2017-12-27 |
| Find all providers in zip 77459 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606163 | Wonderfully Made Pediatrics, Pllc | Pediatrics | 8035 Highway 6 Ste 100, Missouri City, TX 77459 | 2020-07-13 |
| 1982098273 | David Felix Deray | Pediatrics | 8780 Highway 6 Ste A, Missouri City, TX 77459-7113 | 2015-03-24 |
| 1306264056 | Nina Perrault Chegireddy | Pediatrics | 5819 Highway 6 Ste 300, Missouri City, TX 77459-4061 | 2014-03-31 |
| 1326338294 | Sara B Goldstein | Pediatrics | 5819 Highway 6 Ste 330, Missouri City, TX 77459-4070 | 2011-04-13 |
| 1649404914 | Aisha Shenawi Jamal | Pediatrics | 100 Palm Blvd, Missouri City, TX 77459-4554 | 2009-05-14 |
| 1477604775 | Fort Bend Internal Medicine and Pediatrics, P.a. | Pediatrics | 4646 Riverstone Blvd, Missouri City, TX 77459-6141 | 2007-01-15 |
| 1851317432 | Mariano Amador | Pediatrics | 4646 Riverstone Blvd., Missouri City, TX 77459-6141 | 2006-07-15 |
| 1457392672 | Victoria Regan | Pediatrics | 8780 Highway 6, Suite A, Missouri City, TX 77459-7113 | 2006-06-09 |
| 1386628592 | Aye Thida | Pediatrics | 5201 Highway 6, Ste.500a, Missouri City, TX 77459-4369 | 2005-12-01 |
| 1053313569 | Melanie D Degroot | Pediatrics | 307 Texas Pkwy, Ste 100, Missouri City, TX 77489-1151 | 2005-08-15 |
| Find all providers in MISSOURI CITY | ||||
| City | MISSOURI CITY |
| Zip Code | 77459 |
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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.