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

Nicholas Edward Brooky

Individual provider Independent Duty Corpsman · NPI 1417570037

Nicholas Edward Brooky is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

34800 Bob Wilson Dr
San Diego, CA 92134-1098
Phone: (619) 532-6400
Show map & directions

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

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1417570037
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 19, 2020
Last updated in NPPESMay 19, 2020
Certification dateMay 19, 2020

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