Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DAKOTA BENJAMIN BROOKER, PA-C
ActivePhysician Assistant · GLEN DALE, WV
Registration Details
- NPI Number
- 1558026377
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 5, 2021 (4.4588554827088 yrs)
- Last Updated
- Oct 9, 2024
- Licenses
-
50.007121RX (OH)2562 (WV)
Practice Information
- Address
-
800 WHEELING AVEGLEN DALE, WV, 260381697Browse WV providers · Browse ZIP 26038
- Phone
- 3042214570
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in GLEN DALE, WV
| Name | Credential | NPI |
|---|---|---|
| MRS. RENEE M RENNICK | PA-C | 1760530521 |
| CHELSEY K PALMER | PA-C | 1902134901 |
| JODI GOTTARDI | — | 1124429196 |
| KRISTEN ASHLEE HARRIS | — | 1467900548 |
| MRS. KIMBERLY LYNN ARENSBERG | PA-C | 1366938482 |
| ZACHARY C FAIRBANKS | PA-C | 1841840840 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.