Michael Pollard Brooks, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

06389 Issued in MS

Practice address

128 S 11TH Ave
Laurel, MS 39440-4313

Phone

(601) 649-8732

Fax

(601) 649-5051

NPI assigned

Aug 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Laurel Ear, Nose, and Throat Surgical Clinic

  • Otolaryngology Physician
  • Laurel, MS
  • NPI 1851496905
  NPD (past) Authorized official

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104836543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 S 11TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404313",
            "telephone_number": "601-649-8732",
            "fax_number": "601-649-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 S 11TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404313",
            "telephone_number": "601-649-8732",
            "fax_number": "601-649-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "MICHAEL",
        "middle_name": "POLLARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MS",
            "license": "06389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Brewer, SLP
• Madison Carol Brewer, FNP-C
• Amanda Broadway, RNFA
• James Boyd Bronson II, D.O.
• Ashley Brooks
• Elizabeth Ann Brown, LPC
• Felicia R Brown, LPN
• Samantha Brown
• William J Brown
• Kacy D Brownlee, LPN

• Otolaryngology Physician in Laurel, MS
• Providers in Laurel, MS by specialty
• Otolaryngology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.