Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 97-01705 | NC |
NPI | 1023058369 |
---|---|
Provider Name | Werner C Brooks |
First Address | Asheville, NC 28801-4434 |
Second Address | Hendersonville, NC 28791-3528 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 12/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1099Y | BCBS (01) | NC |
891099Y | (05) | NC |
G66726 | (02) | NC |