BROOKS & POTTINGER M.D. P.A. NPI 1457363160

NPI Information

  • NPI: 1457363160
  • Provider Name: BROOKS & POTTINGER, M.D., P.A.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 850 W PLYMOUTH AVENUE
    DELAND, FL
    ZIP 32720
  • Phone: (386) 736-6110

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NPI Details

BROOKS & POTTINGER, M.D., P.A. is a specialist in Deland, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BROOKS & POTTINGER, M.D., P.A. NPI is 1457363160. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

850 W PLYMOUTH AVENUE
DELAND, FL
ZIP 32720
Phone: (386) 736-6110
Fax: (386) 736-7998

The provider's authorized official is Jeffrey B Brooks .
The authorized official title is President and has the following contact phone number (386) 736-6110.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 9/2/2011.

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
1367A00000XAdvanced Practice Midwife1053372FLORIDANo
2207V00000XObstetrics & GynecologyME103639FLORIDANo
3174400000XSpecialistME0026840FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K2191MEDICARE PINFLORIDA
2253359600MEDICAIDFLORIDA

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: 11/21/2025

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