Active NPI
Richard Ferrell Brooks, DDS
- Dentist
- Valdosta, GA
National Provider Identifier
1043383284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN007027
- Practice address
- 101 Northside Dr
C
Valdosta, GA 31602-1724 - Phone
- (229) 247-2225
- Fax
- (229) 247-2295
- NPI assigned
- Nov 16, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN007027 | GA | Primary |
Addresses
Primary practice location
101 Northside Dr
C
Valdosta, GA 31602-1724
Mailing address
101 Northside Dr
C
Valdosta, GA 31602-1724
Phone (229) 247-2225
Other names 1
- Dr. R Ferrell Brooks
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 |
|---|---|---|---|
| DN007027 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043383284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 NORTHSIDE DR",
"address_2": "C",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021724",
"telephone_number": "229-247-2225",
"fax_number": "229-247-2295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 NORTHSIDE DR",
"address_2": "C",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021724",
"telephone_number": "229-247-2225",
"fax_number": "229-247-2295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "RICHARD",
"middle_name": "FERRELL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN007027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "R",
"last_name": "BROOKS",
"middle_name": "FERRELL",
"prefix": "DR.",
"credential": "DDS PC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.