Charles Michael Brooks, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

28622 Issued in NC

Practice address

102 Handley Park Court
Goldsboro, NC 27534

Phone

(919) 734-3344

Fax

(919) 735-3025

NPI assigned

Apr 27, 2006

Last updated

Apr 3, 2015By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1053378604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HANDLEY PARK CT",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341768",
            "telephone_number": "919-734-3344",
            "fax_number": "919-735-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HANDLEY PARK COURT",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "27534",
            "telephone_number": "919-734-3344",
            "fax_number": "919-735-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "CHARLES",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "28622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8918571",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Brittingham, LCASA
• Douglas Edward Brittingham III, PA-C
• Heather Smith Brock, CRNA
• Kimberly Brogden, LCSW
• Brookdale Senior Living Communities, Inc. (Sterling House of Goldsboro)
• Walter Edward Brosseau
• Wrenn Brotzman, PA-C
• Brooke Ashley Brown-Pollard, LPCA
• Charlonda Brown
• Donald E Brown Jr.

• Obstetrics & Gynecology Physician in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Obstetrics & Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.