DR. BROOKE M DIX DPM NPI 1790030393

NPI Information

  • NPI: 1790030393
  • Provider Name: DR. BROOKE M DIX, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 305 SOUTH DR
    6
    MOUNTAIN VIEW, CA
    ZIP 94040
  • Phone: (650) 215-8722

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NPI Details

DR. Brooke M Dix, DPM is a foot and ankle surgery podiatrist in Mountain View, CA. DR. Brooke M Dix, DPM NPI is 1790030393. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

305 SOUTH DR
6
MOUNTAIN VIEW, CA
ZIP 94040-200
Phone: (650) 215-8722
Fax: (650) 964-0720

The NPI 1790030393 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.

  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Removal of noncancer thickened skin growth, more than 4 growths (HCPCS:11057)

The enumeration date for this NPI number is 7/19/2012 and was last updated on 7/15/2016.

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
1213EP1101XPodiatristPrimary Podiatric MedicineE5088CALIFORNIANo
2213EP0504XPodiatristPublic MedicineE5088CALIFORNIANo
3213ES0000XPodiatristSports MedicineE5088CALIFORNIANo
4213ER0200XPodiatristRadiologyE5088CALIFORNIANo
5213E00000XPodiatristE5088CALIFORNIANo
6213ES0103XPodiatristFoot & Ankle SurgeryE5088CALIFORNIAYes
7213ES0131XPodiatristFoot SurgeryE5088CALIFORNIANo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E-5088OTHERCALIFORNIALICENSE
2CA110706MEDICARE PINCALIFORNIA
3CA111489MEDICARE PINCALIFORNIA

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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