MR. JOHNNIE RAY BROOKS PA-C NPI 1063436848

NPI Information

NPI: 1063436848
Provider Name: MR. JOHNNIE RAY BROOKS, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
1503 OAK ST
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 634-0640
Get Directions

MR. Johnnie Ray Brooks, PA-C is a surgical physician assistant in Jacksonville, FL. MR. Johnnie Ray Brooks, PA-C NPI is 1063436848. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1503 OAK ST
JACKSONVILLE, FL
ZIP 32204-910
Phone: (904) 634-0640

The enumeration date for this NPI number is 7/26/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA 9103751	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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