JOHN BROOKS M.D. NPI 1881602555

NPI Information

NPI: 1881602555
Provider Name: JOHN BROOKS, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
255 W BUTE ST
NORFOLK, VA
ZIP 23510
Phone: (757) 627-3790
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John Brooks, M.D. is a specialist in Norfolk, VA. 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. John Brooks, M.D. NPI is 1881602555. 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:

255 W BUTE ST
NORFOLK, VA
ZIP 23510-403
Phone: (757) 627-3790
Fax: (757) 623-5023

The enumeration date for this NPI number is 8/4/2006 and was last updated on 6/4/2012.

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	174400000X	Specialist		01010-28786	VIRGINIA	Yes

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
1	C01402	MEDICARE ID-TYPE UNSPECIFIED	VIRGINIA
2	541210461	OTHER	VIRGINIA	TAX ID
3	006081312	MEDICAID	VIRGINIA
4	B06825	MEDICARE UPIN	VIRGINIA

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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