CHARLES DOUGLAS BROOKS (NPI# 1427231638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427231638 |
| Entity Type | Individual |
| Full Name | CHARLES DOUGLAS BROOKS |
| Credential | MD |
| Practice Address |
1901 Medi Park Dr Suite 2050 Amarillo TX 79106-2110 |
| Practice Telephone | 8063553352 |
| Practice Fax Number | 8063555367 |
| Mailing Telephone | 8063553352 |
| Mailing Fax Number | 8063555367 |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2010-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD2010-0147 | NM | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35.092843 | OH | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
M7874 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 35.092843 | 35.092843 | 01 |
| NM | NEW MEXICO | MD2010-0147 | 01 |
| TX | TX LIC# M7874 | M7874 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780121467 | Charles J Brooks | Otolaryngology | 15355 Peach Hill Rd, Saratoga, CA 95070-6402 | 2017-01-19 |
| 1851725311 | Charles A Brooks | Nurse Practitioner | 6160 Sw Highway 200 Ste 119, Ocala, FL 34476-8307 | 2013-09-02 |
| 1417244401 | Charles Brandten Brooks | Dentist | 105 West 13th, Hays, KS 67601 | 2011-06-29 |
| 1508177825 | Charles Paschal Brooks Jr. | Dentist | 13762 Magnolia St, Blakely, GA 39823-1875 | 2010-07-01 |
| 1306903737 | Charles Nelson Brooks | Orthopaedic Surgery | 18 Cascade Key, Bellevue, WA 98006-1002 | 2007-01-03 |
| 1538144381 | Charles Wilson Brooks | Optometrist | 201 S Abilene Ave, Portales, NM 88130-6207 | 2005-12-14 |
| 1114537966 | Charles D Brooks IIi | Nurse Practitioner | 29 Eastbrook Rd, Ronks, PA 17572-9769 | 2020-08-06 |
| 1003434648 | Charles Wayne Brooks Jr. | Pharmacist | 1 Medical Dr, Benson, NC 27504-1177 | 2020-07-09 |
| 1861830085 | Charles Edward Brooks | Counselor | 3175 S Congress Ave, Suite 304, Palm Springs, FL 33461-2500 | 2013-06-10 |
| 1124197744 | Charles H Brooks | Internal Medicine | Lee St, Charlottesville, VA 22908-0001 | 2006-11-07 |
| Street Address |
1901 MEDI PARK DR SUITE 2050 |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003815325 | Stanley D Cook | Radiology | 1901 Medi Park Dr, Suite 2050, Amarillo, TX 79106-2110 | 2005-07-19 |
| 1396225496 | Lorelei Anne Johnson | Registered Nurse | 1901 Medi Park Dr, Amarillo, TX 79106-2110 | 2018-08-17 |
| 1184179293 | Viviana Whatley | Occupational Therapy Assistant | 1901 Medi Park Dr, Suite 2048, Amarillo, TX 79106-2110 | 2016-08-18 |
| 1891145959 | Beatriz Rey | Speech-Language Pathologist | 1901 Medi Park Dr, Suite 2048, Amarillo, TX 79106-2110 | 2016-06-20 |
| 1952755613 | Blaire Black | Speech-Language Pathologist | 1901 Medi Park Dr, Suite #2048, Amarillo, TX 79106-2110 | 2016-04-19 |
| 1912365461 | Corbie Nathaniel Grimes II | Counselor | 1901 Medi Park Dr, Suite 1038, Amarillo, TX 79106-2110 | 2016-01-28 |
| 1063887776 | Nicole Feagan | Speech-Language Pathologist | 1901 Medi Park Dr, Suite 2048, Amarillo, TX 79106-2110 | 2015-12-07 |
| 1902279573 | Krista Raquel Reta | Occupational Therapy Assistant | 1901 Medi Park Dr, Suite 2048, Amarillo, TX 79106-2110 | 2015-11-04 |
| 1164892956 | Amarillo Pediatric Clinic, Pllc | Nurse Practitioner | 1901 Medi Park Dr, Ste 65, Amarillo, TX 79106-2110 | 2015-10-06 |
| 1407226251 | Cassie Cleavinger | Speech-Language Pathologist | 1901 Medi Park Dr, Suite 2048, Amarillo, TX 79106-2110 | 2015-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093028268 | Mesa Radiology, P.a. | Radiology | 2607 Wolflin Ave, Suite 201, Amarillo, TX 79109-1825 | 2010-07-16 |
| 1508918673 | Aaron Michael Elliott | Radiology | 1901 Medi Park Dr., Suite 2050, Amarillo, TX 79106 | 2007-01-17 |
| 1013008754 | Tully Jenks Currie | Radiology | 2818 S Lipscomb St, Amarillo, TX 79109-3532 | 2006-09-27 |
| 1831103241 | Arouj A Hashmi | Radiology | 1901 Medi Park Dr Ste 2050, Amarillo, TX 79106-2109 | 2006-07-28 |
| 1063454007 | Harnoor Singh | Radiology | 1000 S Coulter St Ste 100, Amarillo, TX 79106-1781 | 2006-06-12 |
| 1356394894 | Open Air Mri of Amarillo, Lp | Radiology | 7400 Wallace Blvd, Amarillo, TX 79106-1818 | 2006-05-18 |
| 1033171335 | John L Andrew | Radiology | 1901 Medipark, Ste 2050, Amarillo, TX 79106 | 2006-04-04 |
| 1902867062 | Howard S Nunn Jr. | Radiology | 11 Cypress Pt, Ste 2050, Amarillo, TX 79124-4910 | 2006-03-29 |
| 1841274651 | Christina Areti Gougoutas Fox | Radiology | 5214 Berget Dr, Amarillo, TX 79106-4914 | 2005-12-05 |
| 1003815325 | Stanley D Cook | Radiology | 1901 Medi Park Dr, Suite 2050, Amarillo, TX 79106-2110 | 2005-07-19 |
| Find all providers in AMARILLO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.