MICHAEL BROOKS (NPI# 1912283680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912283680 |
| Entity Type | Individual |
| Full Name | MICHAEL BROOKS |
| Credential | M.D. |
| Practice Address |
28 Harbor Ln Saint James NY 11780-4244 |
| Practice Telephone | 5617996454 |
| Mailing Telephone | 5617996454 |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 112108 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | DEA NUMBER: AB5306926 | LIC. 112108 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437686458 | Michael Brooks | Counselor | 601 W Franklin St Ste A, Shelton, WA 98584-3518 | 2017-05-22 |
| 1912053729 | Michael Robert Brooks | Registered Nurse | 2500 Sunline Dr, Reno, NV 89523-2084 | 2007-01-25 |
| 1962555623 | Michael Philip Brooks | Social Worker | 414 1st St E, Suite 3, Sonoma, CA 95476-6756 | 2007-01-18 |
| 1851303838 | Michael Brooks | Dentist | 900 W 1st North St, Morristown, TN 37814-4550 | 2006-08-11 |
| 1639196223 | Michael E Brooks | Surgery | 2260 College Avenue, Fort Worth, TX 76110-1952 | 2006-07-17 |
| 1154347839 | Michael Brian Brooks | Emergency Medicine | 1248 Castle Hills Pl, Colorado Springs, CO 80921-3692 | 2006-07-14 |
| 1851320287 | Michael C. Brooks | Chiropractor | 5261 Highway 90, Pace, FL 32571-1532 | 2006-06-30 |
| 1487682233 | Michael Raymond Brooks | Dentist | 2728 Westmoor Ct Sw Ste A, Olympia, WA 98502-5779 | 2006-06-29 |
| 1801844311 | Michael Brooks | Family Medicine | 99 Park Ave, Clarendon Hills, IL 60514-1494 | 2006-05-05 |
| 1376500090 | Michael Fulton Brooks | Psychiatry & Neurology | 12851 East Grand River, Brighton Hospital, Brighton, MI 48116 | 2006-04-27 |
| Street Address |
28 HARBOR LN |
| City | SAINT JAMES |
| State | NY |
| Zip Code | 11780-4244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623956 | Mercy Cryz Kenny | Technician | 12 Three Sisters Rd, St James, NY 11780 | 2019-05-01 |
| 1720503089 | Lindsay Anne Struss | Specialist | 5 Storybook Lane, Saint James, NY 11780 | 2017-08-08 |
| 1194250027 | Dr. Suzanne Greenberg | Chiropractor | 2 Grill Drive, Saint James, NY 11780 | 2017-04-28 |
| 1811363484 | Rely Rx Inc | Durable Medical Equipment & Medical Supplies | 731 B Middle Country Rd, Saint James, NY 11780 | 2015-08-18 |
| 1639563018 | Victoria Grande | Counselor | 348 Lake Ave, Saint James, NY 11780 | 2015-03-24 |
| 1962822502 | Eugene S. Rosati, Md | Internal Medicine | 230 Lincoln Ave, St James, NY 11780 | 2014-04-22 |
| 1346664323 | Judith Ann Pedley | Occupational Therapist | 10 Lancelot Court, Saint James, NY 11780 | 2014-02-11 |
| 1619303336 | Kimberly Ada Flugman | Physical Therapist | 16 Deepwells Lane, St James, NY 11780 | 2013-09-26 |
| 1952606113 | Valley Stream Optometry Pllc | Optometrist | 129 Rockaway Avenue, Valley Stream, NY 11780 | 2011-01-20 |
| 1154586733 | Edward C Brant | Dentist | 447 Lake Avenue, St James, NY 11780 | 2008-07-23 |
| Find all providers in zip 11780 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720503089 | Lindsay Anne Struss | Specialist | 5 Storybook Lane, Saint James, NY 11780 | 2017-08-08 |
| 1730565581 | Kelly Fitzgerald | Specialist | 4 Arlington Ave, Saint James, NY 11780-2802 | 2015-08-04 |
| 1457766883 | Lisa Taube | Specialist | 4 Troon Rd, Saint James, NY 11780-3409 | 2014-06-24 |
| 1194143636 | Michele Kerr | Specialist | 295 Cambon Ave, Saint James, NY 11780-2518 | 2014-04-02 |
| 1669800819 | Kathleen Hurski | Specialist | 157 Jackson Ave S, Saint James, NY 11780-2832 | 2013-10-25 |
| 1164787495 | Dianne Jurlando | Specialist | 150 Cambon Ave, Saint James, NY 11780-3042 | 2012-07-12 |
| 1477816999 | Michelle Aurilia | Specialist | 373 Remsen St, Saint James, NY 11780-1723 | 2012-06-19 |
| 1891057048 | Eileen Hedger | Specialist | 88 Sunny Rd, Saint James, NY 11780-3044 | 2012-06-13 |
| 1700198843 | Michele Lee De Palma | Specialist | 51 Vanderbilt Ave, Saint James, NY 11780-1750 | 2010-07-06 |
| 1942348727 | Bruce F Thompson | Specialist | 403 Lake Ave, Saint James, NY 11780-2205 | 2007-02-02 |
| Find all providers in SAINT JAMES | ||||
| City | SAINT JAMES |
| Zip Code | 11780 |
Please comment or provide details below to improve the information on MICHAEL BROOKS.
| 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.