DR. STEPHEN KENTON WATERBROOK M.D. NPI 1558564872

NPI Information

  • NPI: 1558564872
  • Provider Name: DR. STEPHEN KENTON WATERBROOK, M.D.
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 150 CATHERINE LN
    SUITE J
    GRASS VALLEY, CA
    ZIP 95945
  • Phone: (530) 272-2257

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NPI Details

DR. Stephen Kenton Waterbrook, M.D. is a surgery in Grass Valley, CA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DR. Stephen Kenton Waterbrook, M.D. NPI is 1558564872. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

150 CATHERINE LN
SUITE J
GRASS VALLEY, CA
ZIP 95945-719
Phone: (530) 272-2257
Fax: (530) 272-6977

The NPI 1558564872 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Removal of gallbladder with x-ray study of bile ducts using an endoscope (HCPCS:47563)
  • Repair of groin hernia (5 years or older) (HCPCS:49505)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Removal of growth of sperm cord (HCPCS:55520)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Repair of abdomen using abdominal lining graft (HCPCS:49905)
  • Repair of trapped groin hernia (5 years or older) (HCPCS:49507)

The enumeration date for this NPI number is 6/6/2007 and was last updated on 11/15/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryA94355CALIFORNIAYes

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: 11/21/2025

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