Individual provider Active NPI

Derrick M Brooks, MD

  • Psychiatry Physician
  • Washington, DC
National Provider Identifier
1043744725
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD200001385 Issued in DC
Practice address
1015 15TH St NW Ste 600
Washington, DC 20005-2605
Phone
(202) 743-5817
NPI assigned
Apr 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD468350 PA
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X MD200001385 DC Primary
Psychiatry Physician 2084P0800X 0101272801 VA

Addresses

Primary practice location

1015 15TH St NW Ste 600
Washington, DC 20005-2605

Mailing address

1015 15TH St NW 600
Washington, DC 20005-2610
Phone (202) 743-5817

Other practice location 1

833 Chestnut St
Suite 210
Philadelphia, PA 19107-4414
Phone (215) 955-8420

Other practice location 2

2740 Prosperity Ave Ste 200
Fairfax, VA 22031-4354
Phone (703) 321-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DC, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200219001483 PA Practitioner - Psychiatry 2860760337 Reassigns benefits to 1 organization
I20210913000926 DC Practitioner - Psychiatry 2860760337 Reassigns benefits to 1 organization
I20210917000458 VA Practitioner - Psychiatry 2860760337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Pittsburgh School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery County MH-Mr Emergency ServiceGroup PAC ID 3274435268, 14 clinicians

Practice addresses (Care Compare)

50 Beech Dr
Norristown, PA 19403-5421
Phone (610) 279-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD200001385DCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County MH-Mr Emergency Service CurrentSince Jan 6, 2020 Accepting new patients
Inova Health Care Services CurrentSince Aug 16, 2021 Accepting new patients
Inova Health Care Services Psychiatry Current Accepting new patients
Inova Health Care Services CurrentSince Aug 16, 2021 Accepting new patients

Locations

50 Beech Dr
Norristown, PA 19403
Phone (610) 279-6100

18003 Fraley Blvd
Dumfries, VA 22026
Phone (703) 221-8860

18003 Fraley Blvd
Dumfries, VA 22026

2740 Prosperity Ave
Ste 200
Fairfax, VA 22031
Phone (703) 208-2273

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

211 Gibson St NW
Ste 206
Leesburg, VA 20176
Phone (703) 779-0700

8001 Forbes Pl
Ste 200
Springfield, VA 22151
Phone (703) 321-2502

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1043744725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 15TH ST NW 600",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200052610",
            "telephone_number": "202-743-5817",
            "fax_number": "860-879-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 15TH ST NW STE 600",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200052605",
            "telephone_number": "202-743-5817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 Chestnut St",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191074414",
            "country_code": "US",
            "telephone_number": "215-955-8420",
            "fax_number": "215-503-0429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2740 Prosperity Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314354",
            "country_code": "US",
            "telephone_number": "703-321-2600",
            "fax_number": "703-321-2603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "DERRICK",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-19",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD468350",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD200001385",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101272801",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.