BROOKE LAEL CORCORAN PA NPI 1689449522

NPI Information

  • NPI: 1689449522
  • Provider Name: BROOKE LAEL CORCORAN, PA
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2360 DUCK CREEK PKWY
    GREEN BAY, WI
    ZIP 54303
  • Phone: (920) 965-0345

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NPI Details

Brooke Lael Corcoran, PA is a physician assistant in Green Bay, WI with 3 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Brooke Lael Corcoran, PA NPI is 1689449522. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduation Year:2023

The provider's business location address is:

2360 DUCK CREEK PKWY
GREEN BAY, WI
ZIP 54303-300
Phone: (920) 965-0345

The NPI 1689449522 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 11/21/2023 and was last updated on 11/21/2023.

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
1363A00000XPhysician Assistant7704WISCONSINYes
2363A00000XPhysician Assistant5601012169MICHIGANNo

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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