Individual provider Active NPI

Albert Dennis Brooks, MD

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1013082585
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R5E25 Issued in MO
Practice address
7601 Natural Bridge Rd
Ste 102
Saint Louis, MO 63121-4904
Phone
(314) 261-4844
Fax
(314) 261-2630
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R5E25 MO Primary

Addresses

Primary practice location

7601 Natural Bridge Rd
Ste 102
Saint Louis, MO 63121-4904

Mailing address

7605 Natural Bridge Rd
Ste 101
Saint Louis, MO 63121-4922
Phone (314) 261-4844

Other identifiers 2

IdentifierTypeStateIssuer
R5E25OtherMOSTATE MEDICAL LICENSE
202260600MedicaidMO

Other names 1

  • Dr. A Dennis Brooks Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051014000002 MO Practitioner - Internal Medicine 6305861766 Practice locations: Saint Louis, MO

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loma Linda University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7605 Natural Bridge Rd
Suite 101
Saint Louis, MO 63121-4922
Phone (314) 261-4844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418947200000",
    "number": "1013082585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 NATURAL BRIDGE RD",
            "address_2": "STE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631214922",
            "telephone_number": "314-261-4844",
            "fax_number": "314-261-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 NATURAL BRIDGE RD",
            "address_2": "STE 102",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631214904",
            "telephone_number": "314-261-4844",
            "fax_number": "314-261-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "ALBERT",
        "middle_name": "DENNIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2014-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R5E25",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "R5E25",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202260600",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "A",
            "last_name": "BROOKS",
            "middle_name": "DENNIS",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.