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WILLIAM K BROKKEN NPI 1043211907


NPI Information

NPI: 1043211907
Provider Name: WILLIAM K BROKKEN
Classification: Dermatology - 207ND0900X
Entity Type: Organization

Specialization: Dermatopathology

Address:
504 W PUEBLO ST
STE 202
SANTA BARBARA, CA
ZIP 93105
Phone: (805) 682-6455
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WILLIAM K BROKKEN is a dermatopathology dermatology in Santa Barbara, CA. The provider is 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. WILLIAM K BROKKEN NPI is 1043211907. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

504 W PUEBLO ST
STE 202
SANTA BARBARA, CA
ZIP 93105-211
Phone: (805) 682-6455
Fax: (805) 687-1482

The provider's authorized official is William K Brokken .
The authorized official title is Owner and has the following contact phone number (805) 682-6455.

The enumeration date for this NPI number is 8/2/2005 and was last updated on 6/24/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0900XDermatologyDermatopathologyC33750CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W17806MEDICARE ID-TYPE UNSPECIFIED
2DG8511MEDICARE PIN
305D0584671OTHERCALIFORNIACLIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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