Active NPI
Christopher Brooks, CRNFA
- Registered Nurse First Assistant
- Gilbert, AZ
National Provider Identifier
1023072121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- RN078229
- Practice address
- 2485 E Clark Dr
Gilbert, AZ 85297-3133 - Phone
- (623) 204-9191
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | RN078229 | AZ | Primary |
Addresses
Primary practice location
2485 E Clark Dr
Gilbert, AZ 85297-3133
Mailing address
2485 E Clark Dr
Gilbert, AZ 85297-3133
Phone (623) 204-9191
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1Z5694 | Other | AZ | HEALTHNET OF AZ |
| AZ0148910 | Other | AZ | BCBS AZ |
| 557465 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN078229 | AZ | MD | Registered Nurse First Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C Brooks Crnfa Inc | Registered Nurse First Assistant | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Registered Nurse First Assistant
- Gilbert, AZ
- NPI 1356025092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1023072121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2485 E CLARK DR",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852973133",
"telephone_number": "623-204-9191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2485 E CLARK DR",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852973133",
"telephone_number": "623-204-9191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "CHRISTOPHER",
"credential": "CRNFA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "AZ",
"license": "RN078229",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET OF AZ",
"identifier": "1Z5694",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AZ",
"identifier": "AZ0148910",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "557465",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.