Provider Demographics
NPI:1427325224
Name:ERSLAND, BROOKE (MD)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:
Last Name:ERSLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:800 BRADBURY DR SE STE 116
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-4310
Mailing Address - Country:US
Mailing Address - Phone:505-272-1476
Mailing Address - Fax:
Practice Address - Street 1:1550 W CRAIG RD STE 220
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-0329
Practice Address - Country:US
Practice Address - Phone:702-616-5801
Practice Address - Fax:702-399-8429
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-22
Last Update Date:2025-02-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ4094207Q00000X
NMMD2015-0202207Q00000X
NV22248207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty