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DR. JOHN ROSS BROOKLYN M.D. NPI 1588640635


NPI Information

NPI: 1588640635
Provider Name: DR. JOHN ROSS BROOKLYN, M.D.
Classification: Internal Medicine - 207RA0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
75 SAN REMO DR
SOUTH BURLINGTON, VT
ZIP 05403
Phone: (802) 488-7350
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DR. John Ross Brooklyn, M.D. is an addiction medicine internal medicine in South Burlington, VT with 35 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. DR. John Ross Brooklyn, M.D. NPI is 1588640635. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduation Year:1989

The provider's business location address is:

75 SAN REMO DR
SOUTH BURLINGTON, VT
ZIP 05403-385
Phone: (802) 488-7350

The NPI 1588640635 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hemoglobin a1c level (HCPCS:83036)
  • Testing for presence of drug (HCPCS:80305)

The enumeration date for this NPI number is 12/21/2005 and was last updated on 8/22/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine0420008256VERMONTNo
2207RA0401XInternal MedicineAddiction Medicine042-0008256VERMONTYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11554OTHERBLUE CROSS BLUE SHIELD
2385701OTHERCIGNA
39674OTHERTRICARE
4E41257MEDICARE UPINVERMONT
50420008256OTHERVERMONTSTATE LICENSE
608V031OTHERVERMONTMVP
71554OTHERVERMONTVERMONT MANAGED CARE
80009674MEDICAIDVERMONT

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.