Stephen K Waterbrook MD Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

STEPHEN K WATERBROOK MD INC

Practice address

150 Catherine LN
Suite J
Grass Valley, CA 95945-5719

Phone

(530) 272-2257

NPI assigned

Jan 29, 2015

Organization subpart

No

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

Authorized official

Name

Stephen K Waterbrook, MD

Title

MD

Phone

(530) 272-2257

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1215327291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CATHERINE LN",
            "address_2": "SUITE J",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455719",
            "telephone_number": "530-272-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CATHERINE LN",
            "address_2": "SUITE J",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455719",
            "telephone_number": "530-272-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN K WATERBROOK MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "WATERBROOK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "530-272-2257",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Frances Stanton, LEP, PPS
• Steven Star, PA
• Andrew A. Stedman
• Scott Stein
• Troy Wayne Steinbach, MENTOR
• Amanda Stephens, RADT
• Randi Kellie Stephens
• Joni Sternberg
• Alexis Marie Sterr
• Brittany Stevens, RADT

• Surgery Physician in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.