MRS. BROOKE WILSON (NPI# 1194293043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194293043 |
| Entity Type | Individual |
| Full Name | MRS. BROOKE WILSON |
| Other Name | MS. BROOKE LARNED |
| Credential | AGACNP |
| Practice Address |
2680 S Val Vista Dr Ste 116 Gilbert AZ 85295-2154 |
| Practice Telephone | 4805075678 |
| Practice Fax Number | 4805075677 |
| Mailing Telephone | 4805075678 |
| Mailing Fax Number | 4805075677 |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
PENDING | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710440037 | Brooke Wilson | Massage Therapist | 9372 E Pickwick Cir Bldg 14, Taylor, MI 48180-3854 | 2019-04-12 |
| 1508330481 | Brooke Wilson | In Home Supportive Care | 1920 Verano Dr Ste 105, Haines City, FL 33844-8585 | 2019-01-14 |
| 1487121372 | Brooke Elizabeth Wilson | Physician Assistant | 740 S Limestone E101 Plastic Surgery Clinic, Lexington, KY 40536-0001 | 2018-10-29 |
| 1770011587 | Brooke Mercedes Wilson | Massage Therapist | 301 N Broadway St Ste 2, Aberdeen, WA 98520-3933 | 2017-05-24 |
| 1255612446 | Brooke L Wilson | Speech-Language Pathologist | 1143 Salt Creek Drive, Ponte Vedra Beach, FL 32082 | 2011-09-01 |
| 1164031233 | Brooke Wilson | Behavior Technician | 7905 Schatz Pointe Dr Ste 104, Dayton, OH 45459-0001 | 2020-07-24 |
| 1376016808 | Brooke L Wilson | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2019-01-08 |
| 1013309012 | Brooke Wilson | Speech-Language Pathologist | 619 South St, Fitchburg, MA 01420-6248 | 2015-02-27 |
| 1598074502 | Brooke Parker Wilson | Counselor | 480 Maple St, Danvers, MA 01923-4065 | 2010-09-26 |
| 1649447038 | Brooke A Wilson | Speech-Language Pathologist | 3040 N Wickham Rd, Suite 4, Melbourne, FL 32935-2369 | 2008-05-14 |
| Street Address |
2680 S VAL VISTA DR STE 116 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85295-2154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588647044 | Hack Jae Kim | Internal Medicine | 2680 S Val Vista Dr Ste 116, Gilbert, AZ 85295-2154 | 2005-11-29 |
| 1851800049 | Matthew Patrick Shannon | Physician Assistant | 2680 S Val Vista Dr Ste 116, Gilbert, AZ 85295-2154 | 2017-09-20 |
| 1184154411 | Emily Ann Nagy | Nurse Practitioner | 2680 S Val Vista Dr Ste 116, Gilbert, AZ 85295-2154 | 2017-06-19 |
| 1386930667 | Rizwan Jafri | Internal Medicine | 2680 S Val Vista Dr Ste 116, Gilbert, AZ 85295-2154 | 2011-06-24 |
| 1932184918 | Virender K Sharma | Internal Medicine | 2680 S Val Vista Dr Ste 116, Gilbert, AZ 85295-2154 | 2005-12-13 |
| 1669457206 | Ananya Das | Internal Medicine | 2680 S Val Vista Dr Ste 116, Gilbert, AZ 85295-2154 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471368 | Lifequest Holding Company Gilbert, LLC | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1255946075 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd. Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1407467962 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd, Suite 101, Gilbert, AZ 85295 | 2020-08-10 |
| 1275187718 | Guylene Lucien | Nurse Practitioner | 1689 S. Parkcrest Street, Gilbert, AZ 85295 | 2019-08-01 |
| 1326607144 | Hand Up Behavioral Services, LLC | Community/Behavioral Health | 4145 East Megan Street, Gilbert, AZ 85295 | 2019-06-06 |
| 1629582069 | Victoria Munoz Garcia | Naturopath | 920 S Williams Field Rd., Ste 102, Gilbert, AZ 85295 | 2017-11-21 |
| 1649798752 | Eureka Imperial Residence | Clinic/Center | 633 E Ray Road, Gilbert, AZ 85295 | 2017-09-08 |
| 1447791496 | Janine Patrice Faux | Counselor | 2563 S. Val Vista Drive St. 108, Gilbert, AZ 85295 | 2017-03-10 |
| 1437690450 | Erskine & Barber LLC | Clinic/Center | 5656 S. Power Rd #129, Gilbert, AZ 85295 | 2017-03-09 |
| 1164965448 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 774 E. Buffalo St, Chandler, AZ 85295 | 2016-11-18 |
| Find all providers in zip 85295 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376813121 | Weinberg Gastrointestinal Associates, Pllc | Internal Medicine | 4915 E. Baseline Rd., #126, Gilbert, AZ 85234 | 2012-01-11 |
| 1992743173 | Edward J Cooper | Internal Medicine | 2730 S. Val Vista Dr., Suite #187, Gilbert, AZ 85296 | 2006-06-02 |
| 1588647044 | Hack Jae Kim | Internal Medicine | 2680 S Val Vista Dr Ste 116, Gilbert, AZ 85295-2154 | 2005-11-29 |
| 1386930667 | Rizwan Jafri | Internal Medicine | 2680 S Val Vista Dr Ste 116, Gilbert, AZ 85295-2154 | 2011-06-24 |
| 1386870459 | Nelson H. Lim Md, LLC | Internal Medicine | 2563 S Val Vista Dr, Ste 101, Gilbert, AZ 85295-1804 | 2009-06-03 |
| 1477797710 | Desert Valley Gastroenterology, LLC | Internal Medicine | 3921 E Baseline Rd, Suite 001, Gilbert, AZ 85234-2727 | 2009-04-30 |
| 1073795571 | Accredited Center for Digestive Health Pllc | Internal Medicine | 2563 S Val Vista Dr, Ste 101a, Gilbert, AZ 85295 | 2007-11-27 |
| 1447351879 | Arthrocare Arthritis Care and Research, P.C. | Internal Medicine | 2451 E Baseline Rd, Suite 440, Gilbert, AZ 85234-2471 | 2006-09-26 |
| 1194820233 | Rohit Vanraj Mahajani | Internal Medicine | 201 W Guadalupe Rd, Suite 209, Gilbert, AZ 85233-3334 | 2006-09-13 |
| 1366463168 | Nelson H Lim | Internal Medicine | 2680 S Val Vista Dr, Suite 116, Gilbert, AZ 85295-2152 | 2006-07-21 |
| Find all providers in GILBERT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.