Healthcare Provider Details

I. General information

NPI: 1114845948
Provider Name (Legal Business Name): DAVID GARRET BROSKY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 MOUNTAIN DR
SANTA BARBARA CA
93103-1734
US

IV. Provider business mailing address

37 MOUNTAIN DR
SANTA BARBARA CA
93103-1734
US

V. Phone/Fax

Practice location:
  • Phone: 805-966-3310
  • Fax: 805-966-5582
Mailing address:
  • Phone: 805-966-3310
  • Fax: 805-966-5582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: