Organization Active NPI

Marvin M Brooke MD

  • Physical Medicine & Rehabilitation Physician
  • Seattle, WA
National Provider Identifier
1346550266
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD00015202 Issued in WA
Legal business name
MARVIN M BROOKE MD
Practice address
801 Pine St Ste 100
Seattle, WA 98101-1852
Phone
(206) 302-7747
Fax
(206) 302-7748
NPI assigned
Oct 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Authorized official

Name
Marvin M Brooke, MDNPI 1750336913
Title
Owner
Phone
(206) 302-7747

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X MD00015202 WA Primary

Addresses

Primary practice location

801 Pine St Ste 100
Seattle, WA 98101-1852

Mailing address

801 Pine St Ste 100
Seattle, WA 98101-1852
Phone (206) 302-7747

National Provider Directory

National Provider Directory
Tax ID family
Marvin M Brooke MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1346550266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 PINE ST STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011852",
            "telephone_number": "206-302-7747",
            "fax_number": "206-302-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PINE ST STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011852",
            "telephone_number": "206-302-7747",
            "fax_number": "206-302-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN M BROOKE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "BROOKE",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-302-7747",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "MD00015202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.