Active NPI
Brooke M Palmer, PA-C
- Physician Assistant
- Pensacola, FL
National Provider Identifier
1063905560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.005763RX
- Practice address
- 790 Veterans Way
Pensacola, FL 32507-1000 - Phone
- (850) 505-6550
- NPI assigned
- Jun 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.005763RX | OH | Primary |
Addresses
Primary practice location
790 Veterans Way
Pensacola, FL 32507-1000
Mailing address
790 Veterans Way
Pensacola, FL 32507-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Rutan Hospital | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Family Medicine Physician
- West Liberty, OH
- NPI 1003875949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766102400000",
"number": "1063905560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 VETERANS WAY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325071000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 VETERANS WAY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325071000",
"telephone_number": "850-505-6550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "BROOKE",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-08",
"last_updated": "2025-12-19",
"certification_date": "2025-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.005763RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.