Bobbie Brooker
Individual provider Active NPI Physical Therapist · Durham, NC
NPI 1174508402 · NPPES record last updated Nov 13, 2009
Key facts
- NPI
- 1174508402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 9795 (NC)
- Practice address
- 508 Fulton St
Durham, NC 27705-3875 - Phone
- (919) 286-0411
- NPI assigned
- Dec 9, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9795 | NC | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9795 | NC | Yes |
Addresses
Primary practice location
508 Fulton St
Durham, NC 27705-3875
Mailing address
508 Fulton St
Durham, NC 27705-3875
Other providers in Durham, NC
- Jeremy Edward Brogden
- Judy Ann Brogden
- Peter Robert Bronec
- Yuriy S Bronshteyn
- Zoe Bronstein-Paritz
- Brookiel Community Services, Inc
- Brooks Eckerd Pharmacy
- Ashley Brooks
- Chimere Brooks
- Christopher Ryan Brooks
All providers in Durham, NC · Physical Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.