Brooke N Brock

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

N6654 Rolling Meadows Dr
Fond Du Lac, WI 54937-9471

Phone

(920) 906-5100

NPI assigned

Jun 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lakeland Care Inc

  • Exclusive Provider Organization
  • Fond Du Lac, WI
  • NPI 1366563314
  NPD (past)

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1477815652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N6654 ROLLING MEADOWS DR",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549379471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N6654 ROLLING MEADOWS DR",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549379471",
            "telephone_number": "920-906-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "BROOKE",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Renae Breister, DPT
• Gina M Breit, PT
• Lisa Brennan, FNP
• Sarah M Brinkley, LPCIT
• Rachael Brochtrup, PT
• Brookdale Senior Living Communities, Inc.
• Brooke Industries, Inc.
• Molly Marie Brooks, COTA
• Eddie Kiyoshi Brotkowski, D.D.S., M.D.
• Joline Brotzman, MS, RN, PMHCNS-BC

• Case Manager/Care Coordinator in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Case Manager/Care Coordinator in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.