Provider Demographics
NPI:1184454043
Name:LINDSAY, BROOKE RENEE (PA-C)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:RENEE
Last Name:LINDSAY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MRS
Other - First Name:BROOKE
Other - Middle Name:LINDSAY
Other - Last Name:ROMAGNOLI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1700 TARBORO ST W STE 200
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-3481
Mailing Address - Country:US
Mailing Address - Phone:252-399-5310
Mailing Address - Fax:252-399-5311
Practice Address - Street 1:1705 TARBORO ST SW
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-3437
Practice Address - Country:US
Practice Address - Phone:252-399-8040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-06
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1228187207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine