BRENT FONDSHAY BROOME CNA
NPI 1144548744
Technician - Attendant Care Provider in Moselle, MS

Active since May 07, 2010
6 DAVID PATTERSON RD, MOSELLE, MS 39459(601) 596-3786 Get Directions Write a Review

NPPES record last updated: January 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brent Fondshay Broome Cna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENT FONDSHAY BROOME CNA (NPI 1144548744) is an individual attendant care provider provider in Moselle, Mississippi and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1144548744
Entity TypeIndividualMale
Primary Taxonomy3747A0650X
Provider Legal NameBRENT FONDSHAY BROOMECredential: CNA
Location Address6 DAVID PATTERSON RDMoselle, MS 39459
Mailing Address6 David Patterson RdMoselle, MS 39459-9439 · (601) 596-3786
Sole ProprietorYes
Enumeration DateMay 7, 2010
Last NPPES UpdateJanuary 17, 2026
NPPES CertifiedJanuary 17, 2026
NPI 1144548744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
6 DAVID PATTERSON RD, Moselle, MS 39459

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Peer Specialist
6 DAVID PATTERSON RD
MOSELLE, MS 39459
Religious Nonmedical Health Care Institution
6 DAVID PATTERSON RD
MOSELLE, MS 39459
Technician, Pathology (Medical Laboratory)
6 DAVID PATTERSON RD
MOSELLE, MS 39459

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brent Broome's NPI number?

The NPI number for Brent Broome is 1144548744. It was assigned to this individual provider in the NPPES registry on May 7, 2010.

Where is Brent Broome located?

Brent Broome practices at 6 David Patterson Rd, Moselle, MS 39459. The listed phone number is (601) 596-3786.

What is Brent Broome's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Brent Broome was last updated on January 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.