Provider Demographics
NPI:1720249725
Name:MORGAN, BROOKE GARTRELL (MD)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:GARTRELL
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1776 WOODSTEAD CT
Mailing Address - Street 2:STE 208
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1480
Mailing Address - Country:US
Mailing Address - Phone:778-749-7428
Mailing Address - Fax:125-628-3314
Practice Address - Street 1:616 WADE AVE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27605-1237
Practice Address - Country:US
Practice Address - Phone:919-828-6251
Practice Address - Fax:919-828-3294
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2012-00835208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation