DR. JORDAN ALAN BROOKS (NPI# 1700986874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700986874 |
| Entity Type | Individual |
| Full Name | DR. JORDAN ALAN BROOKS |
| Credential | M.D. |
| Practice Address |
4100 W 3rd St Dayton OH 45428-9000 |
| Mailing Address |
1215 Ripplecreek Ct Dayton OH 45458-3283 |
| Practice Telephone | 9372686511 |
| Mailing Telephone | 9374339364 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
18851 | WV | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326507690 | Jordan Elliot Brooks | Behavior Technician | 7226 Sepulveda Blvd., Van Nuys, CA 91405 | 2019-03-17 |
| 1265988349 | Jordan Lee Brooks | Counselor | 1601 E 4th Plain Blvd Ste 212, Vancouver, WA 98661-3713 | 2016-08-29 |
| 1902225030 | Jordan Brooks | Dermatology | 1007 Harbor Hills Dr Ste C, Marquette, MI 49855 | 2014-04-16 |
| 1851488241 | Jordan Trotter Brooks | Optometrist | 8890 Salrose Ln, Suite #203, Fort Myers, FL 33912-2085 | 2006-10-06 |
| 1083226948 | Jordan Alford Brooks | Counselor | 500 Old Lynchburg Rd, Charlottesville, VA 22903-6500 | 2020-08-20 |
| 1508474834 | Jordan Brooks | Social Worker | 1507 Riverside Ave Unit 200, Fort Collins, CO 80524-4383 | 2020-07-22 |
| 1346897592 | Jordan Brooks | Student in an Organized Health Care Education/Training Program | 2712 Telegraph Ave, Berkeley, CA 94705-1117 | 2019-08-22 |
| 1700310489 | Jordan Brooks | Dental Hygienist | 43 S Lubec Rd, Lubec, ME 04652-3620 | 2017-04-19 |
| 1619306586 | Jordan I Brooks | Nurse Practitioner | 1801 N Senate Blvd, Suite 535, Indianapolis, IN 46202-1228 | 2013-11-01 |
| Street Address |
4100 W 3RD ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45428-9000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861496549 | Andrew T Su | Internal Medicine | 4100 W 3rd St, Dayton, OH 45428-9000 | 2005-06-09 |
| 1578162038 | Olivia Marie Falter | Audiologist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-10-25 |
| 1295334084 | Sarah M Miller | Music Therapist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-10-22 |
| 1366049918 | Chadwick Ryan Watiker | Social Worker | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-10-07 |
| 1174137301 | Danielle Marie Pike | Psychologist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-09-04 |
| 1497368856 | Dinah Callender | Registered Nurse | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-08-26 |
| 1801405352 | Alice Wei Ho | Pharmacist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-07-29 |
| 1801413356 | Sarah Teresa Hierath | Pharmacist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-07-01 |
| 1942823349 | Sloane Rudolf | Optometrist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-05-20 |
| 1720600331 | James Douglas Boodt | Student in an Organized Health Care Education/Training Program | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407414527 | Punyawat Laohakanjanasiri | Dentist | Dayton Va Medical Center/dental Services, 4100 W Third, Dayton, OH 45428 | 2019-06-04 |
| 1942716303 | John Korea Lee | Pharmacist | 4100 W. 3rd Street, Attn: Pharmacy Call Center 408pcc, Dayton, OH 45428 | 2017-12-21 |
| 1366876138 | Amber J Enterline | Pharmacist | 4100 W 3rd Street, Attn Pharmacy, Dayotn, OH 45428 | 2013-08-28 |
| 1114155793 | Jeffrey Michael Munn | Dentist | 4100 West 3rd St., Dayton V.a. Medical Center, Dayton, OH 45428 | 2009-06-23 |
| 1558516724 | Tawnyell Nikko Culpepper | Social Worker | 4100 Va Medical Center, Social Work Department Suite 122, Trotwood, OH 45428 | 2008-12-01 |
| 1255586376 | Prasad V Venkat | Physical Therapist | 4100 W.third Street, Dayton, OH 45428 | 2008-11-18 |
| 1457435687 | Reba E Crowell | Nurse Practitioner | 4100 West 3rd Street, Dayton, OH 45428 | 2006-10-24 |
| 1386728632 | Alicia Joann Weekes-johnson | Counselor | 4100 W Third St. Mhlc Bldg 302, Veterans Administration Medical Center, Dayton, OH 45428 | 2006-10-24 |
| 1497843049 | Margaret Irene Kruckemeyer | Nurse Practitioner | 4100 West Third Street (117), Va Medical Center, Dayton, OH 45428 | 2006-10-10 |
| 1003902545 | Mohamed Elmouelhi | Internal Medicine | 4100 W.third St., Dayton Vamc (11c), Dayton, OH 45428 | 2006-10-04 |
| Find all providers in zip 45428 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932721305 | Stephen P Fuqua | Psychiatry & Neurology | 30 E Apple St # 5254, Dayton, OH 45409-2939 | 2020-05-08 |
| 1790032118 | Cassandra J Milling | Psychiatry & Neurology | 128 E Apple St Fl 2, Wsu Neurology Weber Bldg Suite 2834, Dayton, OH 45409-2902 | 2012-08-06 |
| 1073566147 | Robert P Hardman Md Inc | Psychiatry & Neurology | 300 Forest Ave, Dayton, OH 45405-4536 | 2006-05-18 |
| 1649266016 | Babar Hasan | Psychiatry & Neurology | 2222 Philadelphia Dr, Suite 4505, Dayton, OH 45406-1813 | 2005-09-21 |
| 1114922390 | Joel Vandersluis | Psychiatry & Neurology | 240 W Elmwood Dr, Suite 1000, Dayton, OH 45459-4296 | 2005-06-15 |
| 1568085959 | Louis Curtis | Psychiatry & Neurology | 1 Wyoming St, Dayton, OH 45409-2711 | 2020-05-20 |
| 1972126274 | Graham Kiyoshi Reid | Psychiatry & Neurology | 30 E Apple St Ste 6257, Dayton, OH 45409-2939 | 2020-05-20 |
| 1386050821 | Drew William Dula | Psychiatry & Neurology | 1975 Miamisburg Centerville Rd, Dayton, OH 45459 | 2014-07-04 |
| 1063848240 | Michael Kentris | Psychiatry & Neurology | 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | 2013-09-19 |
| 1174961874 | Kenneth Douglas Pugar | Psychiatry & Neurology | 405 W Grand Ave, Dayton, OH 45405-4720 | 2013-06-05 |
| Find all providers in DAYTON | ||||
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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.