Active NPI
Claudette E Brooks, M.D.
- Neurology Physician
- Morgantown, WV
National Provider Identifier
1104917871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 20001
- Practice address
- 1 Stadium Drive
Morgantown, WV 26506 - Phone
- (304) 598-4800
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 20001 | WV | Primary |
Addresses
Primary practice location
1 Stadium Drive
Morgantown, WV 26506
Mailing address
PO Box 897
Morgantown, WV 26507-0897
Phone (304) 293-7401
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA7030 | Other | WV | RAILROAD MEDICARE GROUP # |
| 1807754000 | Medicaid | WV | |
| P00621858 | Other | WV | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20001 | WV | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Past | Accepting new patients | |
| The Seeing Hand Association, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Voluntary or Charitable Agency
- Wheeling, WV
- NPI 1407943970
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228694400000",
"number": "1104917871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 897",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265070897",
"telephone_number": "304-293-7401",
"fax_number": "304-293-6963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 STADIUM DRIVE",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "26506",
"telephone_number": "304-598-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "CLAUDETTE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2008-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WV",
"license": "20001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP #",
"identifier": "CA7030",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1807754000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00621858",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.