WILLIAM THOMAS BROOKER NPI 1679277768

NPI Information

  • NPI: 1679277768
  • Provider Name: WILLIAM THOMAS BROOKER
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1107 MEMORIAL DR STE G2
    DALTON, GA
    ZIP 30720
  • Phone: (706) 529-3245

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NPI Details

William Thomas Brooker is a family nurse practitioner in Dalton, GA with 1 years of experience. William Thomas Brooker NPI is 1679277768. 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:

1107 MEMORIAL DR STE G2
DALTON, GA
ZIP 30720-662
Phone: (706) 529-3245

The NPI 1679277768 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 enumeration date for this NPI number is 3/30/2023 and was last updated on 12/26/2024.

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
1363LF0000XNurse PractitionerFamilyRN302624GEORGIAYes
2163W00000XRegistered NurseRN302624GEORGIANo

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: 3/30/2025

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