Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KARLYN NICHELLE BROCKENBROUGH CRNP
NPI 1720824592
Nurse Practitioner - Women's Health in Montgomery Village, MD

Active since July 02, 2024
19650 CLUB HOUSE RD # 101, MONTGOMERY VILLAGE, MD 20886(301) 208-1300(301) 208-8699 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 25, 2026, Jul 2, 2024 (2 updates tracked since 2024).

About Karlyn Nichelle Brockenbrough Crnp NPPES

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

KARLYN NICHELLE BROCKENBROUGH CRNP (NPI 1720824592) is an individual women's health provider in Montgomery Village, Maryland, licensed in Maryland (AC006649) and active in the NPI registry since July 2024. She maintains a secondary practice location in Suitland.

NPPES Registry Identity

NPI1720824592
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameKARLYN NICHELLE BROCKENBROUGHCredential: CRNP
Location Address19650 CLUB HOUSE RD # 101Montgomery Village, MD 20886-3003
Mailing Address1225 4th St NeWashington, DC 20002-3431 · (202) 347-8512 · Fax (202) 506-5372
Fax(301) 208-8699
Sole ProprietorNo
Enumeration DateJuly 2, 2024
Last NPPES UpdateSeptember 25, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2026
✔ NPI 1720824592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in MD · AC006649
Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X · License AC006649 (MD)
19650 CLUB HOUSE RD # 101, Montgomery Village, MD 20886

Secondary Practice Location 1

Location 15001 Silver Hill Rd Ste 103Suitland, MD 20746-5208 · Phone (240) 563-1220 · Fax (240) 619-3050

Other Providers at the Same Location NPPES 4

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

Family Medicine
19650 CLUB HOUSE RD # 101
MONTGOMERY VILLAGE, MD 20886
Obstetrics & Gynecology (Gynecology)
19650 CLUB HOUSE RD # 101
MONTGOMERY VILLAGE, MD 20886
Family Medicine
19650 CLUB HOUSE RD # 101
MONTGOMERY VILLAGE, MD 20886
Clinic/Center (Family Planning, Non-Surgical)
19650 CLUB HOUSE RD # 101
MONTGOMERY VILLAGE, MD 20886

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 Karlyn Brockenbrough's NPI number?

The NPI number for Karlyn Brockenbrough is 1720824592. It was assigned to this individual provider in the NPPES registry on July 2, 2024.

Where is Karlyn Brockenbrough located?

Karlyn Brockenbrough practices at 19650 Club House Rd # 101, Montgomery Village, MD 20886. The listed phone number is (301) 208-1300.

What is Karlyn Brockenbrough's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Karlyn Brockenbrough was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.