Organization
BROOKVIEW MEDICAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SHAWN BRONKE (PROVIDER ENROLLMENT MANAGER)
(469) 909-6746
Entity
Organization
Contact information
Practice address
80 ORVILLE DR STE 100, BOHEMIA, NY 11716-2505
(972) 715-3800
Mailing address
4055 VALLEY VIEW LN STE 200, DALLAS, TX 75244-5068
(469) 909-6746
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/29/2015
Last updated
08/06/2026
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