Tavaris R Brooks Sr. (NPI# 1609359868, PAC ID# 5496091720) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1609359868 |
| PAC ID by PECOS | 5496091720 |
| Professional Enrollment ID | I20190108001758 |
| Full Name | Tavaris R Brooks Sr. |
| Organization Legal Name | PENSACOLA PRIMARY CARE INC |
| Address |
7458 Pine Forest Rd Pensacola FL 32526-8818 |
| Phone Number | 8504748773 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6002718343 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100231 | WEST FLORIDA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7458 Pine Forest Rd, Pensacola, FL 32526-8818 | 8504748773 | PENSACOLA PRIMARY CARE INC |
| Organization Legal Name | PENSACOLA PRIMARY CARE INC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean Ashley Tolbert | Nurse Practitioner | Pensacola Primary Care Inc | 2360 Us Hwy 29 S, Cantonment, FL 32533 |
| Vicki L Hankins | Nurse Practitioner | Pensacola Primary Care Inc | 4262 Woodbine Rd, Pace, FL 32571-8703 |
| Bill T Bautsch Jr. | Internal Medicine | Pensacola Primary Care Inc | 4244 Avalon Blvd, Milton, FL 32583-2808 |
| Joe A Dunn Jr. | Family Medicine | Pensacola Primary Care Inc | 321 E Fairfield Dr, Pensacola, FL 32506-4990 |
| William S Willis | Family Medicine | Pensacola Primary Care Inc | 4601 Spanish Trl, Pensacola, FL 32504-5039 |
| Christopher H Rush | Family Medicine | Pensacola Primary Care Inc | 6431 N W St, Pensacola, FL 32505-1719 |
| Benjamin L Konell | Family Medicine | Pensacola Primary Care Inc | 321 E Fairfield Dr, Pensacola, FL 32506-4990 |
| Rex D Delaune | Family Medicine | Pensacola Primary Care Inc | 6431 N W St, Pensacola, FL 32505-1719 |
| Edward Anthony Schuka | Family Medicine | Pensacola Primary Care Inc | 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 |
| Lisa A Looper | Nurse Practitioner | Pensacola Primary Care Inc | 321 E Fairfield Dr, Pensacola, FL 32506-4990 |
| Street Address |
7458 PINE FOREST RD |
| City | PENSACOLA |
| State | FL |
| Zip | 32526-8818 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David A Fontz | Chiropractic | Blue Angel Family Chiropractic Pa | 5700 N Blue Angel Pkwy, Pensacola, FL 32526-1620 |
| Rhonda S Dennison-fontz | Chiropractic | Blue Angel Family Chiropractic Pa | 5700 N Blue Angel Pkwy, Pensacola, FL 32526-1620 |
| Norman R Mcfadden Jr. | General Practice | Jdpremium Healthcare, LLC | 4522 Saufley Field Rd, Suite A, Pensacola, FL 32526-1718 |
| Thomas F Kracht | Chiropractic | Spinal Centers Inc | 2921 W Michigan Ave, Pensacola, FL 32526-1845 |
| Douglas K Boyd | Ophthalmology | 2400 W Michigan Ave, Suite 27, Pensacola, FL 32526-2219 | |
| Frances Keller | Nurse Practitioner | 6705 Pine Forest Rd, Suite 505, Pensacola, FL 32526-6911 | |
| Krystal Suzanne Hall | Nurse Practitioner | 6984 Pine Forest Rd, Pensacola, FL 32526-8908 |
| City | PENSACOLA |
| Zip Code | 32526 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PENSACOLA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tavaris R Brooks Sr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.