MR. BRIAN SCOTT BROOKS (NPI# 1962401554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962401554 |
| Entity Type | Individual |
| Full Name | MR. BRIAN SCOTT BROOKS |
| Credential | PA |
| Practice Address |
22066 Se 71st Ave Hawthorne FL 32640-3969 |
| Mailing Address |
1302 River St Palatka FL 32177-5042 |
| Practice Telephone | 3524812700 |
| Practice Fax Number | 3524812392 |
| Mailing Telephone | 3863267342 |
| Mailing Fax Number | 3863251086 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2020-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA3061 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 290204400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437337318 | Brian E Brooks | Massage Therapist | 8715 Kentsdale, San Antonio, TX 78239-2955 | 2008-02-04 |
| 1205833126 | Brian D. Brooks | Dentist | 15700 Bel Red Rd, Bellevue, WA 98008-2231 | 2005-07-07 |
| 1225223357 | Brian C Brooks | Counselor | 30 Boynton St, Eastport, ME 04631-1306 | 2007-09-11 |
| 1669532974 | Brian P Brooks | Ophthalmology | 111 Michigan Ave Nw, Washington, DC 20010-2978 | 2006-12-11 |
| 1255408183 | Brian T Brooks | Physical Therapist | 1632 W Court St, Pasco, WA 99301-3400 | 2006-11-29 |
| 1417975822 | Brian C Brooks Sr. | Social Worker | 601 Highway 6 W, Iowa City, IA 52246-2292 | 2006-07-17 |
| Street Address |
22066 SE 71ST AVE |
| City | HAWTHORNE |
| State | FL |
| Zip Code | 32640-3969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528204419 | Rural Health Care, Incorporated | Pharmacy | 22066 Se 71st Ave, Hawthorne, FL 32640-3969 | 2008-12-23 |
| 1316026610 | Nalini Lalit Sharma | Internal Medicine | 22066 Se 71st Ave, Hawthorne, FL 32640-3969 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306303169 | Althea Pontoon | In Home Supportive Care | 144 Prairie Drive, Hawthorne, FL 32640 | 2019-02-27 |
| 1013446475 | Divine Care Services LLC | Home Health Aide | 21212 Se 62nd Ave, Hawthorne, FL 32640 | 2017-06-08 |
| 1073968715 | Crista Marina Ana Lucia Rosborough | Specialist | 21403 Se 70th Ave, Hawthorne, FL 32640 | 2016-05-02 |
| 1952781387 | Neil Franklin Letts | Ophthalmology | 160 Little Orange Lake Drive, Hawthorne, FL 32640 | 2015-06-01 |
| 1750575056 | Lenise Valma Thomas | Licensed Practical Nurse | 109 Juniper Drive, Hawthorne, FL 32640 | 2007-08-29 |
| 1023138708 | Brian Christopher Creghan I | Physician Assistant | 6435 Se Hwy 301, Hawthorne, FL 32640 | 2007-03-29 |
| 1275627275 | Charles Edward Peele | Chiropractor | 6005 Se Hwy 301, Suite 405a, Hawthorne, FL 32640 | 2006-10-03 |
| 1093123614 | Joseph J Ciccio | Physical Therapist | 19804 Ne 22nd Ln, Hawthorne, FL 32640-2900 | 2014-07-28 |
| 1073912184 | Kristen Tiurchy | Occupational Therapist | 19804 Ne 22nd Ln, Hawthorne, FL 32640-2900 | 2014-08-14 |
| 1306347919 | Myia Mccloud | Licensed Practical Nurse | 22421 Se 59th Pl, Hawthorne, FL 32640-3616 | 2018-02-28 |
| Find all providers in zip 32640 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962045922 | Yasmin Ayoka Alaran | Physician Assistant | 2596 Denali Ct, Hawthorne, CA 90250-1658 | 2019-10-22 |
| 1174091045 | Sara Pomerantz | Physician Assistant | 19 Bradhurst Ave Ste 2850s, Hawthorne, NY 10532-2140 | 2018-11-08 |
| 1003301995 | Alyssa Rene Henry | Physician Assistant | 208 Lake Ray Rd, Hawthorne, FL 32640-5706 | 2018-06-25 |
| 1023138708 | Brian Christopher Creghan I | Physician Assistant | 6435 Se Hwy 301, Hawthorne, FL 32640 | 2007-03-29 |
| 1073141180 | Kerwin Ebilane | Physician Assistant | 13429 Hawthorne Blvd, Hawthorne, CA 90250-5803 | 2020-04-01 |
| 1033743216 | Lorena Analisa Madera | Physician Assistant | 19 Bradhurst Ave Ste 2750s, Hawthorne, NY 10532-2140 | 2020-02-27 |
| 1699318014 | Danyl Leonidovich Fakhrutdinov | Physician Assistant | 2301 W El Segundo Blvd, Hawthorne, CA 90250-3315 | 2019-10-18 |
| 1336792589 | Taylor Soares | Physician Assistant | 21815 Se 71st Ave, Hawthorne, FL 32640-3974 | 2019-07-17 |
| 1891252680 | Russell David Fike | Physician Assistant | 4477 W 118th St Ste 409, Hawthorne, CA 90250-2259 | 2019-02-27 |
| 1427513530 | Jessica Christiane Clough | Physician Assistant | 19 Bradhurst Ave Ste 3040n, Hawthorne, NY 10532-2180 | 2019-02-02 |
| Find all providers in HAWTHORNE | ||||
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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.