National Provider Identifier Database

SHANE O BROOKS, DO – NPI #1154364115
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.


Contact Information

SHANE O BROOKS, DO
450 S KITSAP BLVD
#100
PORT ORCHARD, WA98366-3773
Phone: 360-744-6275
Fax: 360-895-6296
Website:
Specialty Taxonomy Code
* Emergency Medicine 207P00000X

* Indicates primary specialty

NPI Profile & details for SHANE O BROOKS

NPI Number 1154364115
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/14/2006
Last updated 12/13/2010 - About 15 years ago
Sole proprietor1 Yes
Identifiers
  • WA License #: OP00001839
  • WA Medicaid: 8326985
  • WA Other: BSWA 2264BR
  • WA Other: 1594BR BSWA
  • WA Other: 2165BR BSWA
  • WA Other: 0171367 LIWA
  • WA Other: 0181442 LIWA
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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