Connie Brooks-Fernandez, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9701262 Issued in NC

Practice address

530 Sandhurst Dr
Fayetteville, NC 28304-4426

Phone

(910) 867-7777

Fax

(910) 868-7778

NPI assigned

Mar 15, 2007

Last updated

Dec 1, 2014By the provider in NPPES

Sex

Female

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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• New Hope Family Practice, PC

  • Primary Care Clinic/Center
  • Fayetteville, NC
  • NPI 1568642445
  Medicare reassignment NPD Authorized official
• Carolina Family Practice Centre, PA

  • Primary Care Clinic/Center
  • Fayetteville, NC
  • NPI 1386713402
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1053445627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 SANDHURST DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044426",
            "telephone_number": "910-867-7777",
            "fax_number": "910-868-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 SANDHURST DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044426",
            "telephone_number": "910-867-7777",
            "fax_number": "910-868-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS-FERNANDEZ",
        "first_name": "CONNIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9701262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1232U",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Avrum Brodsky, PHD
• Kristen Chavis Brommer, DPT
• Brandy Bronk, PA-C
• Tonya Marie Brooke
• Jennifer B Brookhouse, MS, CCC/SLP
• Brianna Brooks, PA-C
• Brittany Brooks
• Chelsea Nicole Brooks
• Joan Cindi Brooks, LCSW
• Kennedy Paige Brooks

• Family Medicine Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.