Brooks Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BROOKS MEDICAL SUPPLY, INC.

Practice address

800 Joe Brooks Dr
Jonesboro, AR 72401-4133

Phone

(870) 932-4597

Fax

(870) 932-0656

NPI assigned

Mar 27, 2007

Last updated

Dec 18, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mike L. Brooks

Title

VP

Phone

(870) 932-4597

Specialties & licenses 1

Addresses

Tax ID family

Brooks Medical of MTN Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brooks Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Mountain Home, AR
  • NPI 1215055181
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1013035179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 JOE BROOKS DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014133",
            "telephone_number": "870-932-4597",
            "fax_number": "870-932-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 JOE BROOKS DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014133",
            "telephone_number": "870-932-4597",
            "fax_number": "870-932-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "870-932-4597"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Landree Broadway, CRNA
• Leah Brock
• Meghan Brodell, RN
• Jessica R Broner, MHPP
• Brooke Morgan, LCSW, LLC
• Cynthia Brooks
• Faith L Brooks, QBHP
• Jamie Brooks
• Mersadeze Star Brooks, RN
• Michael A Brooks

• Durable Medical Equipment & Medical Supplies in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.