MEDICARE: BROOK OSTRANDER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1114857125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOK OSTRANDER

Provider Business Mailing Address
First Line	:	2145 SUNFLOWER ST
Second Line	:
City	:	CASPER
State	:	WY
Zip	:	82604-3703
Country	:	US
Telephone Number	:	307-247-6700
Fax Number	:

Provider Business Practice Location Address
First Line	:	1430 WILKINS CIR
Second Line	:
City	:	CASPER
State	:	WY
Zip	:	82601-1336
Country	:	US
Telephone Number	:	307-237-9583
Fax Number	:	307-237-9583

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

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