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BROOKE WILSON
NPI 1508330481
Mastectomy Fitter in Haines City, FL

Active since January 14, 2019
1920 VERANO DR STE 105, HAINES CITY, FL 33844(404) 459-4976 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2025, Jan 14, 2019 (2 updates tracked since 2019).

About Brooke Wilson NPPES

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

BROOKE WILSON (NPI 1508330481) is an individual mastectomy fitter provider in Haines City, Florida and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1508330481
Entity TypeIndividualFemale
Primary Taxonomy224900000X
Provider Legal NameBROOKE WILSON
Location Address1920 VERANO DR STE 105Haines City, FL 33844-8585
Mailing Address1920 Verano Dr Ste 105Haines City, FL 33844-8585 · (404) 459-4976
Phone(404) 459-4976
Sole ProprietorYes
Enumeration DateJanuary 14, 2019
Last NPPES UpdateNovember 4, 20252 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
✔ NPI 1508330481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMastectomy FitterRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224900000X
Definition
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
1920 VERANO DR STE 105, Haines City, FL 33844
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Other Providers at the Same Location NPPES 3

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

OPEN ARMS & HEART SERVICES INC
In Home Supportive Care
1920 VERANO DR STE 105
HAINES CITY, FL 33844
Polk County (321) 430-8194
OPEN ARMS & HEART SERVICES INC
In Home Supportive Care
1920 VERANO DR STE 105
HAINES CITY, FL 33844
Polk County (321) 430-8194
MRS. SHANTANA D JOHNSON
Home Health
1920 VERANO DR STE 105
HAINES CITY, FL 33844
Polk County (321) 217-2409

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 Brooke Wilson's NPI number?

The NPI number for Brooke Wilson is 1508330481. It was assigned to this individual provider in the NPPES registry on January 14, 2019.

Where is Brooke Wilson located?

Brooke Wilson practices at 1920 Verano Dr Ste 105, Haines City, FL 33844. The listed phone number is (404) 459-4976.

What is Brooke Wilson's specialty?

The primary specialty registered for this NPI is Mastectomy Fitter with taxonomy code 224900000X.

When was this NPI record last updated?

The NPPES record for Brooke Wilson was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.