Individual provider · NPI-1
Thomas Roelof Brooke, MD
Internal Medicine · Bethesda, MD
NPI number1760927495
StatusActive
Last updated in NPPESSep 3, 2024
Details
- NPI
- 1760927495
- Entity type
- Individual (NPI-1)
- Name
- Mr. Thomas Roelof Brooke
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 4, 2017
- Certification date
- Sep 3, 2024
- Last updated
- Sep 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 0101270480 | VA | Yes |
| 208M00000X | Hospitalist | 0101270480 | VA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Other names
- Thomas R Brooke (Other Name)
Practice location
8901 Wisconsin AveInternal Medicine Clinic, Bldg 19
Bethesda, MD 20814
Phone 301-295-0196 · Fax 301-400-0618
Mailing address
8901 Wisconsin AvenueInternal Medicine Clinic, Bldg 19
Bethesda, MD 20814
Phone 301-295-0196
Other practice locations
600 Gresham Dr Fl 5
Norfolk, VA 23507-1904
Norfolk, VA 23507-1904
Phone 757-388-3198
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