Active NPI
Brooke Withers
- Medical Physician Assistant
- Tacoma, WA
National Provider Identifier
1245713148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431-5095 - Phone
- (253) 966-1991
- NPI assigned
- Sep 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | |||
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431-5095
Mailing address
9880 Jackson St SE
Yelm, WA 98597-7754
Phone (229) 854-3105
Other practice location 1
761st Tank Battalion Ave
Ft Hood, TX 76544
Phone (254) 288-6500
Other practice location 2
36000 Darnall Loop
Fort Hood, TX 76544-5095
Phone (229) 854-3105
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1245713148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9880 JACKSON ST SE",
"city": "YELM",
"state": "WA",
"postal_code": "985977754",
"telephone_number": "229-854-3105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984315095",
"telephone_number": "253-966-1991"
}
],
"practiceLocations": [
{
"address_1": "761st Tank Battalion Ave",
"address_purpose": "LOCATION",
"city": "Ft Hood",
"state": "TX",
"postal_code": "76544",
"country_code": "US",
"telephone_number": "254-288-6500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "36000 Darnall Loop",
"address_purpose": "LOCATION",
"city": "Fort Hood",
"state": "TX",
"postal_code": "765445095",
"country_code": "US",
"telephone_number": "229-854-3105",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WITHERS",
"first_name": "BROOKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-07",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.