Individual provider Active NPI

Dana W. Brooks III, DO

  • Family Medicine Physician
  • Greensboro, NC
National Provider Identifier
1043772460
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2022-01026 Issued in NC
Practice address
1123 N Church St
Greensboro, NC 27401-1007
Phone
(336) 832-4400
Fax
(336) 832-4440
NPI assigned
Apr 3, 2019
Last updated
Oct 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 251163 NC
Family Medicine Physician 207Q00000X 2022-01026 NC Primary

Addresses

Primary practice location

1123 N Church St
Greensboro, NC 27401-1007

Mailing address

2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 343-7000

Other practice location 1

2131 S 17th St
Wilmington, NC 28401-7407
Phone (910) 343-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20220804001657 NC Practitioner - Family Practice 1052648649 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1211 Virginia St
Greensboro, NC 27401-1313
Phone (336) 275-0927

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022-01026NCMDFamily Medicine Physician
251163NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc. Family Medicine Current Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Alamance Regional Medical Center, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Aug 19, 2023 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Aug 19, 2023 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Jul 1, 2022 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jul 1, 2022 Accepting new patients
Moses Cone Physician Services, Inc. Past Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

3866 Rural Retreat Rd
Ste 104
Burlington, NC 27215
Phone (336) 890-4160

1123 N Church St
Greensboro, NC 27401
Phone (336) 832-4400

1131 N Church St
Greensboro, NC 27401
Phone (336) 358-5100

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

1211 Virginia St
Greensboro, NC 27401
Phone (336) 272-0012

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

3518 Drawbridge Pkwy
Ste 240
Greensboro, NC 27410
Phone (336) 275-0927

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1043772460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017407",
            "telephone_number": "910-343-7000",
            "fax_number": "910-667-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011007",
            "telephone_number": "336-832-4400",
            "fax_number": "336-832-4440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2131 S 17th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017407",
            "country_code": "US",
            "telephone_number": "910-343-7000",
            "fax_number": "910-667-5650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "DANA",
        "middle_name": "W.",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-03",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "251163",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2022-01026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.