Provider Demographics
NPI:1689992737
Name:SCIUTO, BROOKE (MD)
Entity Type:Individual
Prefix:DR
First Name:BROOKE
Middle Name:
Last Name:SCIUTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 S 84TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-4056
Mailing Address - Country:US
Mailing Address - Phone:531-895-9802
Mailing Address - Fax:
Practice Address - Street 1:3501 S 84TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-4056
Practice Address - Country:US
Practice Address - Phone:531-895-9802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-13
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE32536207Q00000X
VA0101251550207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine