Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cornelius Paul Brooke, MD

Individual provider Dermatology Physician · NPI 1275504300

Cornelius Paul Brooke, MD is a Dermatology in Idaho Falls, Idaho. Graduated from University of Colorado School of Medicine, Denver in 1978, 48 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
48
Trained at
University of Colorado School of Medicine, Denver
Licensed in
ID
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2001 S Woodruff Ave Ste 12A
Idaho Falls, ID 83404-6374
Phone: (208) 522-8945
Fax: (208) 522-5374
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 5809M (ID)

Record details

NPI number1275504300
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 27, 2006
Last updated in NPPESJuly 5, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduated 1978 (48 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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