WILLIAM K BROKKEN


Address: 504 W Pueblo St, Ste 202, Santa Barbara, CA 93105-6211
Phone: 8056826455

WILLIAM K BROKKEN (NPI# 1336140284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336140284
Entity Type Individual
Full Name WILLIAM K BROKKEN
Credential MD
Practice Address 504 W Pueblo St
Ste 202
Santa Barbara
CA 93105-6211
Practice Telephone 8056826455
Practice Fax Number 8056871482
Mailing Telephone 8056826455
Mailing Fax Number 8056871482
Enumeration Date 2005-08-02
Last Update Date 2008-10-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0900X Dermatology
Specialization: Dermatopathology
C33750 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA CLIA 05D0584671 01
ORGANIZATION NPI 1043211907 01

Office Location

Street Address 504 W PUEBLO ST
STE 202
City SANTA BARBARA
State CA
Zip Code 93105-6211

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376923722 Megan Tarrant Nurse Practitioner 504 W Pueblo St, Ste. 202, Santa Barbara, CA 93105-6211 2015-06-01
1700120243 Urology Specialists of Santa Barbara Urology 504 W Pueblo St, Suite 102, Santa Barbara, CA 93105-6211 2012-11-21
1881967172 Brett Andrew Gidney Medical Corporation Internal Medicine 504 W Pueblo St, Suite 101, Santa Barbara, CA 93105-6211 2012-02-16
1306119060 Frank R. Gamberdella, M.d., Inc Obstetrics & Gynecology 504 W Pueblo St, Suite 201, Santa Barbara, CA 93105-6211 2012-02-10
1851622740 Kathryn Betty Tadlock Physician Assistant 504 W Pueblo St, Suite 202, Santa Barbara, CA 93105-6211 2010-01-17
1093045833 Kim Phuong Lucy Nguyen-casey Physician Assistant 504 W Pueblo St, Suite 202, Santa Barbara, CA 93105-6211 2009-12-29
1073787875 Meghan Posch Nurse Practitioner 504 W Pueblo St, Suite 101, Santa Barbara, CA 93105-6211 2008-04-14
1184812976 Cary L Conyers, Md, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) 504 W Pueblo St, Suite 301, Santa Barbara, CA 93105-6211 2007-10-05
1831396720 Scott Baringer Tobis Urology 504 W Pueblo St, Suite 102, Santa Barbara, CA 93105-6211 2007-07-02
1891904728 Diana Marie Lambeth Marriage & Family Therapist 504 W Pueblo St, Suite 204, Santa Barbara, CA 93105-6211 2007-05-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831716307 Christopher Robert Ray Hyde Student in an Organized Health Care Education/Training Program Santa Barbara Cottage Hospital- Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 2020-07-01
1023635562 Yana Gristan Student in an Organized Health Care Education/Training Program Santa Barbara Cottage Hospital - Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 2020-07-01
1346867918 Neelima Archana Mohan Student in an Organized Health Care Education/Training Program Santa Barbara Cottage Hospital-medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 2020-06-30
1861019358 Jerry Peng Jiang Student in an Organized Health Care Education/Training Program Santa Barbara Cottage Hospital -medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 2020-06-30
1073153250 California Telemedicine Associates, P.C. Pediatrics 2830 Glendessary Lane, Santa Barbara, CA 93105 2020-01-15
1275190233 Paul Seo Student in an Organized Health Care Education/Training Program Sbch Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 2019-05-24
1174009062 Hannah Wilks Kornfeld Student in an Organized Health Care Education/Training Program Sbch, Surgical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 2018-07-14
1174010896 Thuthiri Thandar Lwin Student in an Organized Health Care Education/Training Program Sbch Medical Education Office, 400 W Pueblo Street, Santa Barbara, CA 93105 2018-04-18
1649771056 Jeremy Middleton Student in an Organized Health Care Education/Training Program Sbch, Medical Education Office, 400 W Pueblo Street, Santa Barbara, CA 93105 2018-02-22
1720593502 Spencer E Price Radiology 400 W Pueblo St Dept Of, Santa Barbara, CA 93105 2017-12-03
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Taxonomy Information

Taxonomy Code 207ND0900X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization Dermatopathology

Taxonomy Definition

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
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 Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952413718 Arnold Medved Dermatology 317 W Pueblo St, Santa Barbara, CA 93105-4355 2006-08-31
1043211907 William K Brokken Dermatology 504 W Pueblo St, Ste 202, Santa Barbara, CA 93105-6211 2005-08-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235792219 Horizon Dermatology and Laser Institute Dermatology 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 2019-04-16
1487011995 Brouha Dermatology, P.C. Dermatology 1319 Beryl St, San Diego, CA 92109-2102 2016-01-28
1528317419 Heidi M Gilchrist, Md, Inc. Dermatology 345 Saxony Road Suite 201, Encinitas, CA 92024-2787 2012-09-06
1194028233 Pavillion Asc Inc. Dermatology 28901 S. Western Avenue #127, Rancho Palos Veredes, CA 90275 2010-12-13
1093021495 Douglas G Hamilton Medical Corp Dermatology 6325 Topanga Canyon Blvd Ste 301, Woodland Hills, CA 91367-2029 2010-08-23
1124254933 Ronnie M Abraham Dermatology 3440 Empresa Dr Ste B, San Luis Obispo, CA 93401 2009-06-08
1316187180 Choice Telemed Dermatology 2001 Union St Ste 495, San Francisco, CA 94123-4128 2009-03-05
1063686707 James D. Jacobitz, M.d. Inc. Dermatology 190 Eucalyptus Dr, San Francisco, CA 94132-1629 2008-04-14
1407034481 Richard P Klimkowski Md PC Dermatology 224 Del Mar, #b, San Clemente, CA 92672-4011 2008-02-01
1457538415 S. Gayle Widyolar, M.d., Inc. Dermatology 21 Montecito Dr, Corona Del Mar, CA 92625-1017 2008-01-22
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Competitor

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City SANTA BARBARA
Zip Code 93105

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Dataset Information

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.

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