CARLA J BROOK (NPI# 1891996062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891996062 |
| Entity Type | Individual |
| Full Name | CARLA J BROOK |
| Practice Address |
850 Holt Dr Montana Athletic Club- Riverbend Physical Therapy Bigfork MT 59911-6218 |
| Mailing Address |
Po Box 441 Bigfork MT 59911-0441 |
| Practice Telephone | 4068373255 |
| Mailing Telephone | 4063665070 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2015-08-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NUR-RN-LIC 26699 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | MEDICARE PTAN | M011004857 | 01 |
| MT | NURSING LICENSE | NUR-LIN-LIC 26699 | 01 |
| Street Address |
850 HOLT DR MONTANA ATHLETIC CLUB- RIVERBEND PHYSICAL THERAPY |
| City | BIGFORK |
| State | MT |
| Zip Code | 59911-6218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457834822 | Jacquelyn R Schaus | Physical Therapist | 850 Holt Dr, Bigfork, MT 59911-6218 | 2018-09-12 |
| 1366813776 | Carly Hilley Wolstein | Physical Therapist | 850 Holt Dr, Bigfork, MT 59911-6218 | 2015-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697921 | Jewel Basin Dentistry | Dentist | 33 Doc Kimball, Big Fork, MT 59911 | 2020-10-20 |
| 1821587148 | Megan Rhae Shoultz | Chiropractor | 216 Sherman Ln, Bigfork, MT 59911 | 2018-05-02 |
| 1083110498 | Cairn Medical LLC | Preventive Medicine | 8111 Highway 35, Suite 210, Bigfork, MT 59911 | 2018-04-04 |
| 1649798372 | Charlotte Dionne Ohara | Counselor | 315 Wheatgrass Court, Bigfork, MT 59911 | 2017-09-01 |
| 1275990269 | Thankfully, Inc | Durable Medical Equipment & Medical Supplies | 8250 Mt Hwy 35, Ste 204, Bigfork, MT 59911 | 2016-01-21 |
| 1134478258 | John Donnington Bartlett | Health Educator | 380 Commerce Street, Bigfork, MT 59911 | 2012-09-05 |
| 1609932037 | Michael Jon Close | Physical Therapist | 850 Holt Drive, Bigfork, MT 59911 | 2006-12-29 |
| 1033119722 | Kismet Big, LLC | Physical Therapist | 1050 Grand Dr, Bigfork, MT 59911 | 2005-07-26 |
| 1649277799 | Bigfork Physical Therapy & Sports Rehabilitation Inc | Clinic/Center | 6400 Mt Hwy 35, Bigfork, MT 59911 | 2005-07-05 |
| 1063860393 | Rachell Kirk | Physical Therapist | 850 Holt Drive, Bigfork, MT 59911 | 2016-05-26 |
| Find all providers in zip 59911 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437376134 | Lianna Mary Danielson | Nurse Practitioner | 191 Jewell Basin Ct, Suite 2a, Bigfork, MT 59911-6290 | 2007-04-20 |
| 1710939301 | Stacye Hopper Hubbard | Nurse Practitioner | 7935 Mt Highway 35, Suite 201, Bigfork, MT 59911-5709 | 2006-05-16 |
| 1821621327 | Sabrina A Seyller | Nurse Practitioner | 135 Pine Tree Dr, Bigfork, MN 56628-4346 | 2020-02-13 |
| 1801123534 | Martha Jessop | Nurse Practitioner | 8299 Mt Highway 35, Bigfork, MT 59911-3583 | 2009-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114872 | Harold James Horine IIi | Nurse Practitioner | 43 Meadow Lark Ln, Deer Lodge, MT 59722-9540 | 2020-11-06 |
| 1073110268 | Heidi Kearns | Nurse Practitioner | 1038 3rd Ave E, Kalispell, MT 59901-5642 | 2020-10-01 |
| 1730796699 | Brandy Colvin | Nurse Practitioner | 709 N Aster Ave, Bozeman, MT 59718-6991 | 2020-09-25 |
| 1518571686 | Megan Gittings Fnp-c Pllc | Nurse Practitioner | 55 W 14th St Ste 102, Helena, MT 59601-3387 | 2020-09-04 |
| 1528672979 | Melanie Funke | Nurse Practitioner | 272 Aswan Pl, Billings, MT 59105-2910 | 2020-09-02 |
| 1831716927 | Chloe Marie Georgeton | Nurse Practitioner | 1288 N 14th Ave Ste 201, Bozeman, MT 59715-8535 | 2020-07-06 |
| 1629697784 | Stephani Conner | Nurse Practitioner | 604 Pine Pl, Whitefish, MT 59937-2362 | 2020-04-09 |
| 1518590645 | William Todd Wohlman | Nurse Practitioner | 3458 Baldwin Rd, Stevensville, MT 59870-2904 | 2020-02-17 |
| 1578104253 | Nora Caitlin Healy | Nurse Practitioner | 201 North 10th Street, Hamilton, MT 59840 | 2019-10-03 |
| 1730737115 | Julie Ann Emerson | Nurse Practitioner | 3244 S 26th Ave, Bozeman, MT 59718-7434 | 2019-08-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.