Brooke D Loo, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15-01244 Issued in KS

Practice address

12200 W 106TH St
Suite 235
Overland Park, KS 66215-2305

Phone

(760) 346-0642

Fax

(913) 338-1311

NPI assigned

Nov 15, 2007

Last updated

Jan 23, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Brooke D Plagman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• College Park Family Care Center PA

  • Family Medicine Physician
  • Overland Park, KS
  • NPI 1740248772
  NPD (past)
• College Park Family Care Center, P.a.

  • Radiology Clinic/Center
  • Overland Park, KS
  • NPI 1881803229
  NPD (past)

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1508047887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741331",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741331",
            "telephone_number": "913-469-0503",
            "fax_number": "913-338-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 W 106TH ST",
            "address_2": "SUITE 235",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152305",
            "telephone_number": "760-346-0642",
            "fax_number": "913-338-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOO",
        "first_name": "BROOKE",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA19460",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "PLAGMAN",
            "middle_name": "D",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cassandra R Long, MSW, LMSW
• Jeannie Long, LCSW
• Joy Long, CRNA
• Tracey Long, MPH, RDN
• Longevity Health Coaching LLC
• Brant David Loose, D.P.T
• Marise Lopes Fermino, MD
• Susane Marie Lopez Cordero, MASSAGE THERAPIST
• Elvia Lopez-Morales
• Jesse Joseph Lopez Jr., D.O.

• Physician Assistant in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.