Brook Medical Pllc
Brook Medical Pllc is a healthcare organization registered as Family Medicine Physician in Eagle, ID, holding Type 2 (organization) NPI 1053494146 since 2006. The authorized official on file is Vicki Wooll, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053494146 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Brook Medical Pllc |
| Other name | <Unavail> |
| Practice address | 1281 E. IRON EAGLE DR, Eagle, ID, 83616 |
| Phone | 2089395535 |
| Fax | 2089395536 |
| Enumeration date | 2006-10-23 |
| Last updated in NPPES | 2015-02-10 |
Authorized official
| Name | Vicki Wooll |
|---|---|
| Title | Owner |
| Phone | 2089395535 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805943000 | Medicaid | ID | — |
Copy-ready billing details
Provider: Brook Medical Pllc NPI: 1053494146 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 1281 E. IRON EAGLE DR, Eagle, ID, 83616
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1922053172 | Vicki Wooll | Individual | Family Medicine Physician | Eagle, ID |
| 1225282486 | Christa Inzercastillo | Individual | Medical Physician Assistant | Eagle, ID |
| 1184011124 | Malisa Williams | Individual | Clinical Social Worker | Eagle, ID |
| 1710428727 | Iris Miller Gallegos | Individual | Clinical Social Worker | Eagle, ID |
| 1316538663 | Renew Wellness LLC | Organization | Clinical Social Worker | Eagle, ID |
| 1508702275 | Clearwater Advanced Surgical Associates LLC | Organization | Surgery Physician | Eagle, ID |
Verify this record
Cross-check NPI 1053494146 against the authoritative CMS record: view Brook Medical Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Brook Medical Pllc located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-02-10.