CHARLES R BROOKER (NPI# 1922026335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922026335 |
| Entity Type | Individual |
| Full Name | CHARLES R BROOKER |
| Credential | M.D. |
| Practice Address |
160 E Lake Howard Dr Winter Haven FL 33881-3155 |
| Practice Telephone | 8632991251 |
| Practice Fax Number | 8632997666 |
| Mailing Telephone | 8632991251 |
| Mailing Fax Number | 8632997666 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | ME75946 | FL | Allopathic & Osteopathic Physicians |
| N | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
ME75481 | FL | Allopathic & Osteopathic Physicians |
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
ME75946 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 255392-900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881823250 | Charles Christopher Brooker | Internal Medicine | 7747 W Deer Valley Rd, Ste 250, Peoria, AZ 85382-2124 | 2009-07-07 |
| Street Address |
160 E LAKE HOWARD DR |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33881-3155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588697502 | The Barranco Clinic, P.a. | Otolaryngology | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 | 2006-07-10 |
| 1679181085 | Emily Garrison Mcclelland | Audiologist | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 | 2020-07-22 |
| 1518516624 | Kristin Annmarie Rushing | Audiologist | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 | 2019-09-11 |
| 1205351020 | Kelly Larrea | Otolaryngology | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 | 2017-08-14 |
| 1932559291 | Shaila Perez I | Audiologist | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 | 2016-06-17 |
| 1841640364 | The Barranco Clinic | Audiologist | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 | 2016-06-15 |
| 1821446501 | Derek Lawrence Gavin | Audiologist | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 | 2016-06-02 |
| 1437577947 | Kyle Anne Steenburg | Audiologist | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 | 2014-04-01 |
| 1558505206 | Elizabeth P Sundean | Otolaryngology | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 | 2009-04-25 |
| 1841440914 | Patricia K Dawson | Audiologist | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 | 2008-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114534476 | Ctc's Heart of Caring, Inc | In Home Supportive Care | 2995 Eagle Nest View Drive, Winter Haven, FL 33881 | 2020-09-29 |
| 1356813869 | Michael Thomas Wiernicki | Dentist | 1074 Spring Lake Plaza, Winter Haven, FL 33881 | 2018-12-21 |
| 1659862423 | Patricia Pelt | Social Worker | 3073 Buckeye Point Dr, Winter Haven, FL 33881 | 2018-05-28 |
| 1952891244 | Ansley Health LLC | Home Health | 1502 6th Ct Ne, Winter Haven, FL 33881 | 2018-05-14 |
| 1346699261 | Yovanka Zapata | Specialist/Technologist, Other | 5856 Windrigde Dr., Winter Haven, FL 33881 | 2016-06-10 |
| 1720415599 | Villa Pharmacy LLC | Pharmacy | 105 Avenue R Nw, Winter Haven, FL 33881 | 2013-10-10 |
| 1992149397 | Nic 5 Spring Haven Leasing LLC | Assisted Living Facility | 1225 Nw Havendale Boulevard, Winter Haven, FL 33881 | 2013-04-29 |
| 1780938225 | Penelope Sturdevant | Nurse Practitioner | 2791 Lake Alfred Rd., Winter Haven, FL 33881 | 2012-11-06 |
| 1649548165 | Tim R Acree | Non-emergency Medical Transport (VAN) | 2 Eagles Nest, Winter Haven, FL 33881 | 2011-12-12 |
| 1285899419 | Adjustment and Awareness Counseling | Community/Behavioral Health | 243 3rd St Nw, Winter Haven, FL 33881 | 2008-07-28 |
| Find all providers in zip 33881 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588697502 | The Barranco Clinic, P.a. | Otolaryngology | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 | 2006-07-10 |
| 1558505206 | Elizabeth P Sundean | Otolaryngology | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 | 2009-04-25 |
| 1154524718 | Menachem Stuart | Otolaryngology | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 | 2007-06-08 |
| 1598783987 | Michael J Rooney | Otolaryngology | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 | 2006-07-17 |
| 1841218179 | Deane R Briggs | Otolaryngology | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 | 2006-07-17 |
| 1841218153 | Joseph J Bradfield | Otolaryngology | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 | 2006-07-17 |
| 1528086717 | Robert M Merritt | Otolaryngology | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 | 2006-07-17 |
| 1831122811 | George D Lyle | Otolaryngology | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 | 2006-07-10 |
| 1407825946 | James A Martin | Otolaryngology | 635 1st St N, Winter Haven, FL 33881-4129 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447870977 | Shanmugasundaram, Venkatachalam | Otolaryngology | 10131 W Forest Hill Blvd Ste 201, Wellington, FL 33414-6109 | 2020-04-24 |
| 1851910517 | Daniel Oswaldo Manrique | Otolaryngology | 325 Saddle Ridge Dr, Davenport, FL 33896-8176 | 2020-04-13 |
| 1932735768 | Martin Alvin Shugar | Otolaryngology | 3850 Hollywood Blvd Ste 401, Hollywood, FL 33021-6746 | 2020-03-12 |
| 1396219242 | North Broward Hospital Distric T | Otolaryngology | 1801 W Sample Rd Ste 101, Deerfield Beach, FL 33064-1370 | 2019-01-14 |
| 1356811194 | Donald Lee Roberts | Otolaryngology | 4251 Commons Dr W Unit 5211, Destin, FL 32541-8636 | 2018-12-04 |
| 1275022238 | Mary Teresa Garrish | Otolaryngology | 405 Sims Way, Merritt Island, FL 32952-5233 | 2018-05-05 |
| 1437658671 | Baptist Ent Specialists Inc | Otolaryngology | 11236 Baptist Health Dr Ste 330, Jacksonville, FL 32218-2989 | 2018-02-02 |
| 1467970368 | Portela E.n.t., Pa | Otolaryngology | 3100 Sw 62nd Ave Ste 124, Miami, FL 33155-3009 | 2017-08-31 |
| 1427414358 | Rufus Madison Holloway Jr. | Otolaryngology | 1616 Lake Shore Drive, Orlando, FL 32803 | 2016-01-07 |
| 1609253178 | Sumeet Bhanot Md Pa | Otolaryngology | 2038 Bee Ridge Road, Suite A, Sarasota, FL 34239 | 2015-05-04 |
| Find all providers with the same taxonomy | ||||
| City | WINTER HAVEN |
| Zip Code | 33881 |
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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.