National Provider Identifier
Brooke Danielle Scruggs, PA-C
Brooke Danielle Scruggs, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Orchard Park, NY and a listed phone number of (716) 699-9032.
Profile Overview
- NPI
- 1942542394
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- March 25, 2013
- Last Updated
- September 18, 2020
Practice Location
- 3245 Southwestern Blvd.
- Orchard Park, NY 14127-1241
Phone: (716) 699-9032
Mailing Address
- 35 Sherwin Dr
- Tonawanda, NY 14150
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1942542394
- Entity Type
- Individual
- Last Name
- Scruggs
- First Name
- Brooke
- Middle Name
- Danielle
- Name Prefix
- MS.
- Credential
- PA-C
- Mailing Street Address
- 35 Sherwin Dr
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150
- Mailing Country
- US
- Mailing Phone
- (443) 739-6316
- Practice Street Address
- 3245 Southwestern Blvd.
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1241
- Practice Country
- US
- Practice Phone
- (716) 699-9032
- Practice Fax
- (716) 699-9035
- Enumeration Date
- March 25, 2013
- Last Updated
- September 18, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 18, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)