DR. BROOKE WENMAN HEROUX (NPI# 1750430435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750430435 |
| Entity Type | Individual |
| Full Name | DR. BROOKE WENMAN HEROUX |
| Credential | PSYD |
| Practice Address |
1050 Jabara Ave Goldsboro NC 27531 |
| Practice Telephone | 9197221883 |
| Practice Fax Number | 9197221878 |
| Mailing Telephone | 9197221883 |
| Mailing Fax Number | 9197221878 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
8665 | MA | Behavioral Health & Social Service Providers |
| Street Address |
1050 JABARA AVE |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821087818 | Todd Alan Cesar | Social Worker | 1050 Jabara Ave, Seymour Johnson Afb, Goldsboro, NC 27531-2310 | 2005-10-21 |
| 1184137457 | Jason H Trinh | Pharmacist | 1050 Jabara Ave, Goldsboro, NC 27531-2310 | 2017-11-09 |
| 1184152910 | David Vincent Peter Espitia | Military Health Care Provider | 1050 Jabara Ave, Goldsboro, NC 27531-2310 | 2017-05-24 |
| 1972050920 | Brittany Denise Booker | Nurse Practitioner | 1050 Jabara Ave, Goldsboro, NC 27531-2310 | 2016-09-07 |
| 1699144923 | Matthew Keeney Williams | Physical Therapist | 1050 Jabara Ave, Goldsboro, NC 27531-2310 | 2015-09-16 |
| 1992144778 | Anthony J Meelan | Family Medicine | 1050 Jabara Ave, Goldsboro, NC 27531-2310 | 2013-06-14 |
| 1679829634 | Luke Li | Psychiatry & Neurology | 1050 Jabara Ave, Goldsboro, NC 27531-2310 | 2012-07-27 |
| 1538432018 | Elliott John Sally | Pediatrics | 1050 Jabara Ave, Sjafb, Pediatric Clinic, Goldsboro, NC 27531-2310 | 2012-02-15 |
| 1235440439 | Stacy Marie Neagles | Military Health Care Provider | 1050 Jabara Ave, Goldsboro, NC 27531-2310 | 2010-06-23 |
| 1790931723 | Joshua S Swantek | Pharmacist | 1050 Jabara Ave, Seymour Johnson Afb, Goldsboro, NC 27531 | 2008-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185348 | Adam Golos | Pharmacist | 2803 Medical, N Campus Dr, Goldsboro, NC 27531 | 2019-10-11 |
| 1346747011 | Rachel Eden Leigh Palmer | Military Health Care Provider | 2803 Medical Campus Dr, Seymour Johnson Afb, NC 27531 | 2018-04-10 |
| 1689108508 | Peri Fouss | Pediatrics | 2803 Medical Campus Drive, Goldsboro, NC 27531 | 2017-04-18 |
| 1700256427 | Karen Schaefer | Psychologist | 1050 Jabara Ave., Goldsboro, NC 27531 | 2015-10-07 |
| 1679059737 | Charles Billig | Physician Assistant | 2803 Medical Campus Dr, Goldsboro, NC 27531 | 2018-07-12 |
| 1710413216 | Michael Everett Ridlehoover | Dentist | 2803 Medical Campus Drive, Seymour Johnson Afb, NC 27531 | 2017-05-04 |
| 1831173558 | Thomas Koritz Clinic | Clinic/Center | 1050 Jabara Avenue, Seymour Johnson Afb, NC 27531-2310 | 2005-12-06 |
| 1053316562 | Stephen Brian Irvin | Family Medicine | 1050 Jabarrah Ave, Seymour Johnson A F B, NC 27531-2310 | 2005-06-21 |
| 1952704975 | Andrea Sumner | Physician Assistant | 1050 Jabarrah Ave, Seymour Johnson A F B, NC 27531-2310 | 2014-10-04 |
| 1114363884 | Nathan Lee Carlson | Military Health Care Provider | 1050 Jabarrah Ave, Goldsboro, NC 27531-2310 | 2013-05-21 |
| Find all providers in zip 27531 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225431356 | Calvin Graham | Psychologist | 501 Shelley Dr, Goldsboro, NC 27534-3251 | 2014-10-03 |
| 1528113446 | Alisa R Young | Psychologist | 1700 E Ash St Ste 203, Goldsboro, NC 27530-4097 | 2007-01-23 |
| 1316988959 | James T. Smith | Psychologist | 1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 | 2006-06-08 |
| 1790757698 | Teresa A Poole | Psychologist | 692 N Spence Ave, Suite B, Goldsboro, NC 27534-4339 | 2006-02-03 |
| 1316938731 | Jonathan Alan Barnes | Psychologist | 301 Violeta Cir, Goldsboro, NC 27534-3245 | 2005-11-03 |
| 1811349699 | Astrid Ertola | Psychologist | 201 Stevens Mill Rd, Goldsboro, NC 27530-1056 | 2016-07-06 |
| 1508213158 | Cynthia Lewis | Psychologist | 1401 W Ash St, Goldsboro, NC 27530-1078 | 2016-05-24 |
| 1518220185 | Cynthia Koempel | Psychologist | 201 Stevens Mill Rd, Goldsboro, NC 27530-1056 | 2012-06-19 |
| 1508130576 | Natalie A. Kemp | Psychologist | 1214 Parkway Dr, Goldsboro, NC 27534-3448 | 2012-03-08 |
| 1922334416 | Jillian Fitch | Psychologist | 2719 Graves Dr Ste 7, Goldsboro, NC 27534-4536 | 2009-10-19 |
| Find all providers in GOLDSBORO | ||||
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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.