Organization Active NPI

Adam Brooks MD Inc.

  • Orthopaedic Surgery Physician
  • Antioch, CA
National Provider Identifier
1073893863
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G16830 Issued in CA
Legal business name
ADAM BROOKS MD INC.
Practice address
2350 Country Hills Drive
Suite B
Antioch, CA 94509-7436
Phone
(925) 754-5254
Fax
(925) 754-5286
NPI assigned
Aug 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Authorized official

Name
Adam Brooks, M.D.NPI 1407167703
Title
President
Phone
(925) 754-5254

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X G16830 CA Primary

Addresses

Primary practice location

2350 Country Hills Drive
Suite B
Antioch, CA 94509-7436

Mailing address

2350 Country Hills Drive
Suite B
Antioch, CA 94509-7436
Phone (925) 754-5254

Other names 1

  • Summer S. Seibert MD Inc. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120427000117 CA Part B Supplier - Clinic/Group Practice 9234391855 Receives reassigned benefits from 3 practitioners
Practice locations: Antioch, CA

National Provider Directory

National Provider Directory

Locations

3903 Lone Tree Way
Ste 305
Antioch, CA 94509
Phone (925) 751-5256

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1073893863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 COUNTRY HILLS DRIVE",
            "address_2": "SUITE B",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945097436",
            "telephone_number": "925-754-5254",
            "fax_number": "925-754-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 COUNTRY HILLS DRIVE",
            "address_2": "SUITE B",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945097436",
            "telephone_number": "925-754-5254",
            "fax_number": "925-754-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM BROOKS MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-754-5254",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G16830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summer S. Seibert MD Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.