Active NPI
Brooke Nicole Wiles
- Speech-Language Pathologist
- Bruce, WI
National Provider Identifier
1396695557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14503921
- Practice address
- 104 W Washington Ave
Bruce, WI 54819-9641 - Phone
- (715) 868-2585
- NPI assigned
- Jan 29, 2026
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 14503921 | WI | Primary |
Addresses
Primary practice location
104 W Washington Ave
Bruce, WI 54819-9641
Mailing address
W13272 Sieck Rd
Bruce, WI 54819-9605
Other practice location 1
W13272 Sieck Rd
Bruce, WI 54819-9605
Phone (715) 403-1047
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14503921 | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769644800000",
"number": "1396695557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W13272 SIECK RD",
"city": "BRUCE",
"state": "WI",
"postal_code": "548199605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W WASHINGTON AVE",
"city": "BRUCE",
"state": "WI",
"postal_code": "548199641",
"telephone_number": "715-868-2585"
}
],
"practiceLocations": [
{
"address_1": "W13272 Sieck Rd",
"address_purpose": "LOCATION",
"city": "Bruce",
"state": "WI",
"postal_code": "548199605",
"country_code": "US",
"telephone_number": "715-403-1047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILES",
"first_name": "BROOKE",
"middle_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-29",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "14503921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bruce, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.