Organization
DANIEL C BROOKE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL C BROOKE MD (PRESIDENT)
(406) 233-2520
Entity
Organization
Contact information
Practice address
2600 WILSON STREET, SUITE 1, MILES CITY, MT 59301
(406) 233-2520
(406) 233-4062
Mailing address
2600 WILSON ST STE 1, MILES CITY, MT 59301-5094
(406) 233-2520
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4617
MT
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841474087
DMERC NORIDIAN MEDICARE
MT
05
—
1841474087
—
MT
01
—
DA5107
RAILROAD MEDICARE
MT
Enumeration date
12/24/2007
Last updated
07/06/2023
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