NPI age
20 years
Enumerated 2006-01-27
● Active
Type 1 · Individual
Cornelius Paul Brooke, MD
Brooke is 1 of 5 dermatology providers in Idaho Falls and 1 of 102 in Idaho.
Primary specialty
Dermatology
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-07-05
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 102 active dermatology providers in Idaho.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-01Enumerated in NPPES
2006
2026
Where they practice
Practice location
2001 S Woodruff Ave, Ste 12a
Idaho Falls, ID 834046374
Mailing address
2001 S Woodruff Ave, Ste 12a
Idaho Falls, ID 834046374
Specialties
-
Dermatology PrimaryA dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002685200 | |
| 01 (ID) | 77186 | BLUE CROSS |
| 01 | 58099 | BLUE CROSS |
Practice context
Part of a multi-provider practice. 33 other active providers share this practice address in NPPES.
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