Brooke Gifford, DPM Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4889 Issued in CA

Legal business name

BROOKE GIFFORD, DPM INC

Practice address

425 Haaland Dr
201
Thousand Oaks, CA 91361-5229

Phone

(805) 496-2383

NPI assigned

Oct 17, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brooke Gifford, DPMNPI 1750563995

Title

Doctor

Phone

(805) 444-8424

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brooke Ashley Gifford, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Newbury Park, CA
  • NPI 1750563995
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1023361862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 TENNIS CLUB LN",
            "address_2": "CA",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604213",
            "telephone_number": "805-444-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HAALAND DR",
            "address_2": "201",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913615229",
            "telephone_number": "805-496-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKE GIFFORD, DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "GIFFORD",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "805-444-8424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget S Tester DPM Inc
• Morgan Brizendine
• Jennie Tara Broadhurst, BA DEGREE
• Susan Broccoli
• Nicholas Brock, D.C.
• Mai Brooks, MD
• Ronald Brooks, RPT
• Shelby Brooks
• Melody Anne Brotby, M.A.
• Justin Paul Brouhard, PT

• Foot & Ankle Surgery Podiatrist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.