DR. JEFFREY SCOTT BROOKS DPM NPI 1962418277

NPI Information

NPI: 1962418277
Provider Name: DR. JEFFREY SCOTT BROOKS, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
11709 OLD BALLAS RD
SUITE 201
CREVE COEUR, MO
ZIP 63141
Phone: (314) 432-1903
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DR. Jeffrey Scott Brooks, DPM is a foot and ankle surgery podiatrist in Creve Coeur, MO. DR. Jeffrey Scott Brooks, DPM NPI is 1962418277. 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:

11709 OLD BALLAS RD
SUITE 201
CREVE COEUR, MO
ZIP 63141-029
Phone: (314) 432-1903
Fax: (314) 432-5105

The NPI 1962418277 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).

The enumeration date for this NPI number is 7/31/2006 and was last updated on 10/26/2007.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery	000366	MISSOURI	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
1	480022599	MEDICARE PIN	MISSOURI
2	001012738	MEDICARE PIN	MISSOURI
3	001012739	MEDICARE PIN
4	T42804	MEDICARE UPIN	MISSOURI
5	480022596	MEDICARE PIN	MISSOURI
6	300900842	MEDICAID	MISSOURI

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: 5/5/2024

NPI Synchronization or Removal

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