Individual provider Active NPI

Bonnie Jean Brooks, M.D.

  • Internal Medicine Physician
  • Lorton, VA
National Provider Identifier
1104892876
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101245687 Issued in VA
Practice address
9500 Richmond Highway
Sentara Family Medicine Physicians
Lorton, VA 22079-2124
Phone
(571) 800-8915
Fax
(833) 954-5512
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101245687 VA Primary

Addresses

Primary practice location

9500 Richmond Highway
Sentara Family Medicine Physicians
Lorton, VA 22079-2124

Mailing address

11803 Jefferson Ave
Ste 140
Newport News, VA 23606-2565
Phone (757) 594-1803

Other practice location 1

11803 Jefferson Ave
Ste 140
Newport News, VA 23606-2565
Phone (757) 594-1803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090813000830 VA Practitioner - Internal Medicine 1759385347 Reassigns benefits to 1 organization
I20250731003493 DC Practitioner - Internal Medicine 1759385347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Eastern Virginia Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

11803 Jefferson Ave
Newport News, VA 23606-4390

830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860

850 Kempsville Rd
Norfolk, VA 23502-3920

9500 Richmond Hwy
Lorton, VA 22079-2124
Phone (571) 800-8915

Hospital & facility affiliations

  • Sentara Home Care Services Home health agency, Dumfries, VA, CCN 497675
  • Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113
  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Internal Medicine CurrentSince Sep 1, 2009 Accepting new patients
New West Physicians Inc Internal Medicine Past Accepting new patients
Kenneth H Weisiger MD PC Internal Medicine Past Accepting new patients

Locations

9500 Richmond Hwy
Lorton, VA 22079
Phone (571) 800-8915

11803 Jefferson Ave
Ste 140
Newport News, VA 23606
Phone (757) 594-1803

824 N Military Hwy
Ste 100
Norfolk, VA 23502
Phone (888) 236-2263

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Interoperability endpoints

  • Direct secure messaging: bbrooks404@direct.sentara.net

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1104892876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11803 JEFFERSON AVE",
            "address_2": "STE 140",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062565",
            "telephone_number": "757-594-1803",
            "fax_number": "757-594-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 RICHMOND HIGHWAY",
            "address_2": "SENTARA FAMILY MEDICINE PHYSICIANS",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220792124",
            "telephone_number": "571-800-8915",
            "fax_number": "833-954-5512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11803 Jefferson Ave",
            "address_2": "Ste 140",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236062565",
            "country_code": "US",
            "telephone_number": "757-594-1803",
            "fax_number": "757-594-1828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "BONNIE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101245687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorton, VA

Sources for this page

Verify at the official NPI Registry.