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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
C33750 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CLIA | 05D0584671 | 01 |
| ORGANIZATION NPI | 1043211907 | 01 |
| Street Address |
504 W PUEBLO ST STE 202 |
| City | SANTA BARBARA |
| State | CA |
| Zip Code | 93105-6211 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 93105 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| 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. |
| 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 |
| 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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| City | SANTA BARBARA |
| Zip Code | 93105 |
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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.