Brooke Ann Pelke, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

841523 Issued in WI

Practice address

2522 Golf Rd
Eau Claire, WI 54701-6032

Phone

(715) 279-3546

NPI assigned

Jul 5, 2022

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 Ann Polzer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1770216079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W5051 VRADENBERG RD",
            "city": "DURAND",
            "state": "WI",
            "postal_code": "547364840",
            "telephone_number": "715-279-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 GOLF RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016032",
            "telephone_number": "715-279-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELKE",
        "first_name": "BROOKE",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "841523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "POLZER",
            "middle_name": "ANN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah J. Pedersen, RDH, CDHC
• Lori Pederson
• Miranda S Pederson, CSAC
• Thomas Edward Pederson, MD
• Johann M Peikert, MD
• Aaron Pelle
• Thomas P Peller, M.D.
• Nancy E. Peloquin, LCSW
• Suzette K Peltier, MD
• Megan Lynn Pena, CNM, NP

• Physician Assistant in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.