MEDICARE: BROOKE ERSLAND M.D.

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	207Q00000X	Family Medicine Physician	Q4094	TX
2	207Q00000X	Family Medicine Physician	MD2015-0202	NM
3	207Q00000X	Family Medicine Physician	22248	NV

General Provider Information

NPI Number	:	1427325224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOKE ERSLAND M.D.

Provider Business Mailing Address
First Line	:	800 BRADBURY DR SE STE 116
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-4310
Country	:	US
Telephone Number	:	505-272-1476
Fax Number	:

Provider Business Practice Location Address
First Line	:	1550 W CRAIG RD STE 220
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-0329
Country	:	US
Telephone Number	:	702-616-5801
Fax Number	:	702-399-8429

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

Provider Enumeration Date	:	11/22/2011
Last Update Date	:	02/15/2025

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Directions to “ BROOKE ERSLAND M.D.” Practice Location

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