Individual provider Active NPI

Brooke Carbone, PA-C

  • Physician Assistant
  • Salisbury, MD
National Provider Identifier
1568048643
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1675 Woodbrooke Dr
Salisbury, MD 21804-8502
Phone
(410) 701-3327
NPI assigned
Mar 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X RT007984 PA
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1675 Woodbrooke Dr
Salisbury, MD 21804-8502

Mailing address

PO Box 69709
Baltimore, MD 21264-9709
Phone (410) 749-4154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240916002578 MD Practitioner - Physician Assistant 9931640190 Reassigns benefits to 2 organizations
I20241016003863 DE Practitioner - Physician Assistant 9931640190 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidalhealth Specialty Care LLCGroup PAC ID 7113340845, 375 clinicians
Peninsula Orthopaedic Assoc PAGroup PAC ID 6406844406, 56 clinicians

Practice addresses (Care Compare)

100 E Carroll St
Salisbury, MD 21801-5422

1675 Woodbrooke Dr
Salisbury, MD 21804-8502
Phone (410) 749-4154

200 Federal St
Seaford, DE 19973-5764
Phone (410) 912-4976

30265 Commerce Dr
Millsboro, DE 19966-3594

Hospital & facility affiliations

  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
RT007984PAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Orthopaedic Assoc, PA Physician Assistant CurrentSince Sep 2, 2024 Accepting new patients
Peninsula Orthopaedic Assoc PA CurrentSince Sep 22, 2024 Accepting new patients
Peninsula Orthopaedic Associates, PA Past Accepting new patients

Locations

30265 Commerce Dr
Unit 104
Millsboro, DE 19966
Phone (302) 629-4787

503 Health Services Dr
Seaford, DE 19973

11107 Cathage Rd
Unit 101
Ocean Pines, MD 21811
Phone (410) 641-0202

641 S Salisbury Blvd
Salisbury, MD 21801
Phone (410) 341-9002

1675 Woodbrooke Dr
Salisbury, MD 21804
Phone (410) 860-4514

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8254/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1616198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1568048643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69709",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212649709",
            "telephone_number": "410-749-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 WOODBROOKE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218048502",
            "telephone_number": "410-701-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBONE",
        "first_name": "BROOKE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-20",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT007984",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.