Organization Active NPI

Trent Brookshier DPM PC

  • Foot & Ankle Surgery Podiatrist
  • San Diego, CA
National Provider Identifier
1801530878
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
TRENT BROOKSHIER DPM PC
Practice address
3989 32ND St
San Diego, CA 92104-2001
Phone
(619) 283-2097
NPI assigned
Apr 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Authorized official

Name
Dr. Trent Rockne Brookshier, DPMNPI 1295296150
Title
Surgeon
Phone
(619) 283-2097

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

3989 32ND St
San Diego, CA 92104-2001

Mailing address

3989 32ND St
San Diego, CA 92104-2001
Phone (619) 283-2097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230925001876 CA DME Supplier - Physician - General Practice 5698146405 Practice locations: San Diego, CA
O20241119004149 CA Part B Supplier - Clinic/Group Practice 5698146405 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

3989 32nd St
San Diego, CA 92104
Phone (619) 283-2097

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1801530878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3989 32ND ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042001",
            "telephone_number": "619-283-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3989 32ND ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042001",
            "telephone_number": "619-283-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRENT BROOKSHIER DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "BROOKSHIER",
        "authorized_official_first_name": "TRENT",
        "authorized_official_middle_name": "ROCKNE",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "619-283-2097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.