Provider Demographics
NPI:1295145167
Name:ORGAN, BROOKE E (DO)
Entity type:Individual
Prefix:DR
First Name:BROOKE
Middle Name:E
Last Name:ORGAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1760 AIR FORCE PENTAGON RM 4A870
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20330-1760
Mailing Address - Country:US
Mailing Address - Phone:703-697-3255
Mailing Address - Fax:
Practice Address - Street 1:1760 AIR FORCE PENTAGON RM 4A870
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20330-1284
Practice Address - Country:US
Practice Address - Phone:703-697-3255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-01
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS13475207Q00000X
IL036157906207Q00000X
IL036.157906207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine