Brooks Ambulance Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

601226 Issued in WI

Legal business name

BROOKS AMBULANCE INC

Practice address

426 E Main St
Waupun, WI 53963

Phone

(920) 324-9132

Fax

(920) 324-0968

NPI assigned

Dec 5, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Leroy F Brooks

Title

Owner

Phone

(920) 324-9132

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1477537249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "WAUPUN",
            "state": "WI",
            "postal_code": "539630369",
            "telephone_number": "920-324-9132",
            "fax_number": "920-324-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 E MAIN ST",
            "city": "WAUPUN",
            "state": "WI",
            "postal_code": "53963",
            "telephone_number": "920-324-9132",
            "fax_number": "920-324-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "LEROY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-324-9132",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "601226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41308400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jagdev R Bhatoya, MD
• BHS Central Pharmacy
• Denise Bonnett, APRN,BC
• Steven John Bresser
• Marsha Lynn Brightman, FNP-C, APNP, RN, MSN
• Kenneth R. Burg, M.D.
• Linda K Burmania, PTA
• Stephanie Lynn Bush, APNP
• Kristy Love Buteyn, PHARMD
• Kathleen Mae Buwalda, L.P.N.

• Land Ambulance in Waupun, WI
• Providers in Waupun, WI by specialty
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; 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.