CHELSEA BROCKWAY
NPI 1609200054
Dentist - Orthodontics and Dentofacial Orthopedics in Bradenton, FL

Active since August 21, 2013Opted out of Medicare · through Nov 20, 2026
3611 1ST ST E STE 530, BRADENTON, FL 34208(941) 746-7460 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2019, Mar 30, 2017 (2 updates tracked since 2017).

About Chelsea Brockway NPPES

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

CHELSEA BROCKWAY (NPI 1609200054) is an individual orthodontics and dentofacial orthopedics provider in Bradenton, Florida, licensed in Florida (DN20729) and active in the NPI registry since August 2013. She has opted out of Medicare through November 20, 2026.

NPPES Registry Identity

NPI1609200054
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameCHELSEA BROCKWAY
Location Address3611 1ST ST E STE 530Bradenton, FL 34208-4423
Mailing Address3611 1st St E Ste 530Bradenton, FL 34208-4423 · (941) 746-7460
Sole ProprietorNo
Enumeration DateAugust 21, 2013
Last NPPES UpdateJuly 22, 20192 updates tracked since enumeration
NPI 1609200054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in FL · DN20729
Definition
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.
Also ListedDentistTaxonomy 122300000X · License DRP1183 (FL)
3611 1ST ST E STE 530, Bradenton, FL 34208

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Chelsea Brockway has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 20, 2018 through November 20, 2026.

Opt-Out Effective DateNovember 20, 2018
Opt-Out In Effect ThroughNovember 20, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Dentist (Orthodontics and Dentofacial Orthopedics)
3611 1ST ST E STE 530
BRADENTON, FL 34208

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 Chelsea Brockway's NPI number?

The NPI number for Chelsea Brockway is 1609200054. It was assigned to this individual provider in the NPPES registry on August 21, 2013.

Where is Chelsea Brockway located?

Chelsea Brockway practices at 3611 1st St E Ste 530, Bradenton, FL 34208. The listed phone number is (941) 746-7460.

What is Chelsea Brockway's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Chelsea Brockway enrolled in Medicare?

No. Chelsea Brockway has opted out of Medicare through November 20, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Chelsea Brockway accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Chelsea Brockway as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Chelsea Brockway was last updated on July 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.