BRETT DE KOOKER
NPI 1114877016
Student in an Organized Health Care Education/Training Program in Eau Claire, WI

Active since January 30, 2026
509 UNIVERSITY DR, EAU CLAIRE, WI 54701(715) 836-3412 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brett De Kooker NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRETT DE KOOKER (NPI 1114877016) is an individual student in an organized health care education/training program in Eau Claire, Wisconsin and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1114877016
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRETT DE KOOKER
Location Address509 UNIVERSITY DREau Claire, WI 54701
Mailing Address509 University DrEau Claire, WI 54701
Sole ProprietorNo
Enumeration DateJanuary 30, 2026
NPPES CertifiedJanuary 28, 2026
NPI 1114877016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
509 UNIVERSITY DR, Eau Claire, WI 54701

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
509 UNIVERSITY DR
EAU CLAIRE, WI 54701
Student in an Organized Health Care Education/Training Program
509 UNIVERSITY DR
EAU CLAIRE, WI 54701
Specialist/Technologist (Athletic Trainer)
509 UNIVERSITY DR
EAU CLAIRE, WI 54701
Student in an Organized Health Care Education/Training Program
509 UNIVERSITY DR
EAU CLAIRE, WI 54701
Specialist/Technologist (Athletic Trainer)
509 UNIVERSITY DR
EAU CLAIRE, WI 54701
Specialist/Technologist (Athletic Trainer)
509 UNIVERSITY DR
, EAU CLAIRE, WI 54701
Student in an Organized Health Care Education/Training Program
509 UNIVERSITY DR
EAU CLAIRE, WI 54701
Student in an Organized Health Care Education/Training Program
509 UNIVERSITY DR
EAU CLAIRE, WI 54701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brett De Kooker's NPI number?

The NPI number for Brett De Kooker is 1114877016. It was assigned to this individual provider in the NPPES registry on January 30, 2026.

Where is Brett De Kooker located?

Brett De Kooker practices at 509 University Dr, Eau Claire, WI 54701. The listed phone number is (715) 836-3412.

What is Brett De Kooker's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Brett De Kooker was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.