Individual provider Active NPI

William Bogan Brooks III, M.D.

  • Psychiatry Physician
  • Mobile, AL
National Provider Identifier
1093822918
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
30231 Issued in AL
Practice address
1015 Montlimar Dr
Mobile, AL 36609-1713
Phone
(251) 450-2211
Fax
(251) 662-7297
NPI assigned
Aug 24, 2006
Last updated
Nov 3, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 012234 ME
Psychiatry Physician 2084P0800X MD13164 RI
Psychiatry Physician 2084P0800X 30231 AL Primary

Addresses

Primary practice location

1015 Montlimar Dr
Mobile, AL 36609-1713

Mailing address

5750 A Southland Drive
Mobile, AL 36693-3316
Phone (251) 450-2211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20111011000574 AL Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 7012944929 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012234MEMDPsychiatry Physician
MD13164RIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Altapointe Health Systems, Inc. CurrentSince Sep 4, 2011 Accepting new patients
Altapointe Health Systems Inc CurrentSince Sep 4, 2011 Accepting new patients
Altapointe Health Systems, Inc. Current Accepting new patients
Ingraham Past Accepting new patients
Baldwin County Mental Health Center, Inc. PastSince Sep 4, 2011 Accepting new patients

Locations

200 E Fig Ave
Foley, AL 36535
Phone (251) 929-5401

1015 Montlimar Dr
Mobile, AL 36609
Phone (251) 450-2250

2400 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 305-4660

5750A Southland Dr
Mobile, AL 36693
Phone (251) 450-5901

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1093822918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 A SOUTHLAND DRIVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366933316",
            "telephone_number": "251-450-2211",
            "fax_number": "251-662-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 MONTLIMAR DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091713",
            "telephone_number": "251-450-2211",
            "fax_number": "251-662-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "WILLIAM",
        "middle_name": "BOGAN",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "012234",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "MD13164",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "30231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.