Individual
DR. BROOKE TRAINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-2770
(804) 675-5000
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101253690
VA
207L00000X
Anesthesiology Physician
256880
NY
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
0101253690
VA
207LP2900X
Pain Medicine (Anesthesiology) Physician
0101253690
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285951244
—
VA
01
—
256880
MEDICAL LICENSE
NY
Enumeration date
04/29/2010
Last updated
08/02/2021
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