Active NPI
Brooks Allison, MD PC
- Specialist
- Riverton, WY
National Provider Identifier
1053374876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4404A
- Legal business name
- BROOKS ALLISON, MD PC
- Practice address
- 2100 W Sunset Dr
Riverton, WY 82501-2274 - Phone
- (307) 857-3590
- Fax
- (307) 857-3553
- NPI assigned
- Apr 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Archie Brooks Allison, MD
- Title
- Ceo
- Phone
- (307) 857-3590
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4404A | WY | Primary |
Addresses
Primary practice location
2100 W Sunset Dr
Riverton, WY 82501-2274
Mailing address
2100 W Sunset Dr
Riverton, WY 82501-2274
Phone (307) 857-3590
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Riverton, WY
- NPI 1144284506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184803200000",
"number": "1053374876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 W SUNSET DR",
"city": "RIVERTON",
"state": "WY",
"postal_code": "825012274",
"telephone_number": "307-857-3590",
"fax_number": "307-857-3553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 W SUNSET DR",
"city": "RIVERTON",
"state": "WY",
"postal_code": "825012274",
"telephone_number": "307-857-3590",
"fax_number": "307-857-3553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKS ALLISON, MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-11",
"last_updated": "2007-07-19",
"status": "A",
"authorized_official_last_name": "ALLISON",
"authorized_official_first_name": "ARCHIE",
"authorized_official_middle_name": "BROOKS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "307-857-3590",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "WY",
"license": "4404A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverton, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.