Active NPI
Daniel C Brooke MD PC
- Orthopaedic Surgery Physician
- Miles City, MT
National Provider Identifier
1841474087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 4617
- Legal business name
- DANIEL C BROOKE MD PC
- Practice address
- 2600 Wilson Street
Suite 1
Miles City, MT 59301 - Phone
- (406) 233-2520
- Fax
- (406) 233-4062
- NPI assigned
- Dec 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel C Brooke, MD
- Title
- President
- Phone
- (406) 233-2520
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 4617 | MT | Primary |
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
2600 Wilson Street
Suite 1
Miles City, MT 59301
Mailing address
2600 Wilson St Ste 1
Miles City, MT 59301-5094
Phone (406) 233-2520
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA5107 | Other | MT | RAILROAD MEDICARE |
| 1841474087 | Other | MT | DMERC NORIDIAN MEDICARE |
| 1841474087 | Medicaid | MT |
National Provider Directory
National Provider DirectoryLocations
2600 Wilson St
Ste 1
Miles City, MT 59301
Phone (406) 233-2520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688601600000",
"number": "1841474087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 WILSON ST STE 1",
"city": "MILES CITY",
"state": "MT",
"postal_code": "593015094",
"telephone_number": "406-233-2520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 WILSON STREET",
"address_2": "SUITE 1",
"city": "MILES CITY",
"state": "MT",
"postal_code": "59301",
"telephone_number": "406-233-2520",
"fax_number": "406-233-4062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL C BROOKE MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-24",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A",
"authorized_official_last_name": "BROOKE",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "406-233-2520",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "MT",
"license": "4617",
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DA5107",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC NORIDIAN MEDICARE",
"identifier": "1841474087",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1841474087",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miles City, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.