Individual provider

BROOKE KING, PHD

CMS NPPES lists BROOKE KING as an individual provider record with NPI 1396460051. The current record reports a primary practice location in ALDERSON, WV and primary taxonomy code 103T00000X.

NPI 1396460051Record type Type 1Primary taxonomy 103T00000X

Type 1 NPIs identify individual healthcare providers. How to read this profile

01

Practice locations

  1. Primary practice location
    1 GLEN RAY RDALDERSON, WV 24910

Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.

02

Taxonomy information

  • 103T00000XPrimary reported taxonomy

Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.

03

NPI record information

NPI status
Enumerated in NPPES
Enumeration date
October 5, 2022

An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.