Walter S Brooks, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

155597-1 Issued in NY

Practice address

730 Weiland Rd
Rochester, NY 14626-3919

Phone

(585) 719-9600

Fax

(585) 719-9872

NPI assigned

Apr 10, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greece Dermatological Associates, PC

  • Dermatology Physician
  • Rochester, NY
  • NPI 1437244498
  Medicare reassignment

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1043273279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 WEILAND RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263919",
            "telephone_number": "585-719-9600",
            "fax_number": "585-719-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 WEILAND RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263919",
            "telephone_number": "585-719-9600",
            "fax_number": "585-719-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "WALTER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "155597-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01523748-09",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marjorie Chereece Brooks
• Monique Brooks, LPN
• Paula Brooks, LPN
• Shatavia Brooks, LPN
• Vaughn Michael Brooks, MSN, PMHNP
• Taylor Gabriel Brophy
• William Jacob Brorein Jr., MD PHD
• Ashley Lynn Broska, AU.D
• Natalie Brossard Barbosa
• Magdalena Justyna Broszko, M.D.

• Dermatology Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.