DR. BROOKE M WOOD (NPI# 1972708238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972708238 |
| Entity Type | Individual |
| Full Name | DR. BROOKE M WOOD |
| Credential | DDS |
| Practice Address |
9804 Bluebonnet Blvd Ste A Baton Rouge LA 70810-6442 |
| Practice Telephone | 2257961969 |
| Mailing Telephone | 2257961969 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2011-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5846 | LA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1858463 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969390 | Brooke Ashley Wood | Student in an Organized Health Care Education/Training Program | 101 W 8th Ave, Spokane, WA 99204-2307 | 2020-04-01 |
| 1619116555 | Brooke A Wood | Nurse Anesthetist, Certified Registered | 3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019 | 2009-02-17 |
| 1669492351 | Brooke A. Wood | Physician Assistant | 1705 Warren Ave, Suite 304, Williamsport, PA 17701-2647 | 2006-07-19 |
| Street Address |
9804 BLUEBONNET BLVD STE A |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70810-6442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538105689 | Gwendolyn D Corbett | Dentist | 9804 Bluebonnet Blvd, Suite B, Baton Rouge, LA 70810-6442 | 2006-06-20 |
| 1962571018 | Dr Denis E Simon IIi, Dr Michael Scott Bond and Gwendolyn Denise Co | Dentist | 9804 Bluebonnet Blvd, Suite B, Baton Rouge, LA 70810-6442 | 2006-11-06 |
| 1568494292 | Denis E Simon IIi | Dentist | 9804 Bluebonnet Blvd, Suite B, Baton Rouge, LA 70810-6442 | 2006-07-06 |
| 1609804509 | Michael S Bond | Dentist | 9804 Bluebonnet Blvd, Suite B, Baton Rouge, LA 70810-6442 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639734973 | Baton Rouge Clinic, A Medical Corporation | Podiatrist | 8160 Ymca Blvd, Suite C, Baton Rouge, LA 70810 | 2019-05-02 |
| 1699278135 | Taylor Denise Debourg | Specialist/Technologist | 8921 Boone Drive, Baton Rouge, LA 70810 | 2018-03-12 |
| 1528583945 | Baton Rouge Perio, L.L.C. | Dentist | 10723 N. Oak Hills Parkway, Bldg. B, Baton Rouge, LA 70810 | 2017-08-07 |
| 1902334931 | Reginald Shaffer | Counselor | 13621 Kenner Ave Apt C, Baton Rouge, LA 70810 | 2017-06-03 |
| 1770010381 | Keona Julien | Case Manager/Care Coordinator | 9270 Siegen Ln Suite 101, Baton Rouge, LA 70810 | 2017-05-12 |
| 1205372893 | Grand Canyon Mobile Dentistry | Dentist | 8480 Bluebonnet Blvd Ste E, Baton Rouge, LA 70810 | 2017-01-06 |
| 1215395173 | Kimberly Booker | Counselor | 9371 Bimini Dr, Baton Rouge, LA 70810 | 2016-02-08 |
| 1710354022 | St Gabriel Health Clinic, Inc | Clinic/Center | 9211 Parkway Dr, Baton Rouge, LA 70810 | 2015-08-24 |
| 1942682430 | Jasmine Alexander | Counselor | 9270 Siegen Ln Bldg 101, Baton Rouge, LA 70810 | 2015-06-22 |
| 1073991535 | James Michael Robinson | Family Medicine | 12525 Perkins Rd Ste A, Baton Rouge, LA 70810 | 2015-05-15 |
| Find all providers in zip 70810 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898982 | Jeff Ellard Dds Apdc | Dentist | 541 Shadows Ln Ste B, Baton Rouge, LA 70806-6559 | 2020-07-13 |
| 1316364417 | Rebecca Day | Dentist | 4607 Sherwood Common Blvd Bldg 1, Baton Rouge, LA 70816-4892 | 2014-03-26 |
| 1346420866 | Associates In Pediatric Dentistry,llc | Dentist | 9000 Airline Hwy Ste 100, Baton Rouge, LA 70815-4183 | 2007-11-13 |
| 1023216546 | Kredenna Beverly | Dentist | 2314 Weymouth Dr., Ste. B, Baton Rouge, LA 70809-5207 | 2007-07-05 |
| 1932329380 | Paula Isabel Fonseca | Dentist | 8000 Gsri Ave, Baton Rouge, LA 70820 | 2007-04-26 |
| 1194888131 | Steven Edward Ripple | Dentist | 10522 S Glenstone Pl, Baton Rouge, LA 70810-2875 | 2006-12-19 |
| 1497818389 | Johnnie L Hunt | Dentist | 9804 Bluebonnet Blvd Ste A, Baton Rouge, LA 70810-6442 | 2006-12-19 |
| 1275612376 | Randall August Bergeron | Dentist | 7930 Wrenwood Blvd, Ste B, Baton Rouge, LA 70809-7700 | 2006-11-02 |
| 1720198864 | Robert L Delarosa | Dentist | 4607 Sherwood Common Blvd, Ste 100, Baton Rouge, LA 70816-4295 | 2006-08-30 |
| 1255307393 | Ronald David Landry | Dentist | 2726 Continental Dr, Baton Rouge, LA 70808-3207 | 2006-02-28 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70810 |
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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.