KENTON LEE WATERBROOK (DO) – Orthopaedic Surgery Physician, NPI 1750377966

KENTON LEE WATERBROOK (DO) is a healthcare provider. based in Lansing, Michigan. specializing in Orthopaedic Surgery Physician. They hold the professional credentials DO. They hold a License No. KW008742 (MI). The NPI Number for KENTON LEE WATERBROOK (DO) is 1750377966

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
KENTON LEE WATERBROOK (DO)
NPI
1750377966
Phone
(517) 487-3717
Address
3370 E JOLLY RD
Enumeration Date
22 September 2005
Last Update Date
12 August 2011

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5174873717
Graduation Year
1983 (43 years ago)
PAC ID
8224204706
Group Practice PAC ID
6608843321
Professional Enrollment ID
I20120106000422
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for KENTON LEE WATERBROOK (DO)

  • East Jolly Road, Lansing, Ingham County, Michigan, 48910, United States

    LANSING, MI 489108552

    Phone: (517) 487-3717

    Fax: (517) 487-3472

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48910)

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Provider's Procedures

KENTON LEE WATERBROOK (DO) performs procedures in Orthopaedic Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYMI27447Repair of knee joint3535
ORTHOPEDIC SURGERYMI73562X-ray of knee, 3 views4738

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608843321View full group profile
NameSpecialtyState
DR. WILLIAM JAMES GOLDEN (D.O.)
-MI

Reviews

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Frequently asked questions

What is the standard ID for KENTON LEE WATERBROOK (DO) in the U.S.?
In the U.S., KENTON LEE WATERBROOK (DO) is identified by NPI 1750377966.
Should I treat KENTON LEE WATERBROOK (DO) as an active provider?
Patients and plans typically see KENTON LEE WATERBROOK (DO) as active in the national extract.
How should patients interpret KENTON LEE WATERBROOK (DO)'s specialty?
The extract shows Orthopaedic Surgery Physician for KENTON LEE WATERBROOK (DO). Clinical services aligned with this taxonomy classification.
What geographic area is tied to KENTON LEE WATERBROOK (DO)?
KENTON LEE WATERBROOK (DO) is associated with Lansing, Michigan in the same public data insurers reference.
Why is information missing for KENTON LEE WATERBROOK (DO)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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