Jeff Z Brooker Jr., MD, RETIRED

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

5186 Issued in SC

Practice address

1625 Bernardin Ave
Columbia, SC 29204-2003

Phone

(803) 251-8985

NPI assigned

Sep 19, 2005

Reactivated

Apr 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1013902832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 BERNARDIN AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042003",
            "telephone_number": "803-251-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 BERNARDIN AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042003",
            "telephone_number": "803-251-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKER",
        "first_name": "JEFF",
        "middle_name": "Z",
        "name_suffix": "Jr.",
        "credential": "MD, RETIRED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2012-01-11",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "5186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Elizabeth Brom
• Charity E Bronson
• Jordan David Bronstein, DMD
• Argiri X Brook, MD
• Brookdale Senior Living Communities, Inc.
• Latoya Brooks-Key, PHD, MSW, MA, LCSW,
• Brandon Michael Brooks, DPM, MPH
• Brenda Brooks
• Chiquita Brooks
• David Collins Brooks, PT

• Cardiovascular Disease Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Cardiovascular Disease Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.