Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT FONDSHAY BROOME, CNA
Active Sole ProprietorBRENT FONDSHAY BROOME, CNA is a Podiatric Surgery healthcare provider located in MOSELLE, Mississippi. NPI 1144548744 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · MOSELLE, MS
Registration Details
- NPI Number
- 1144548744
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 7, 2010 (16.082041630886 yrs)
- Last Updated
- Jan 17, 2026
- Sole Proprietor
- Yes
Practice Information
- Address
-
6 DAVID PATTERSON RDMOSELLE, MS, 39459Browse MS providers · Browse ZIP 39459
- Phone
- 6015963786
- Primary Specialty
-
Podiatric Surgery
3747A0650X
- Additional Specialty
- Podiatric Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.