Jeffrey Brooks MD Inc

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

G51713 Issued in CA

Legal business name

JEFFREY BROOKS MD INC

Practice address

935 Trancas St Ste 2C
Napa, CA 94558-2944

Phone

(707) 252-4955

Fax

(866) 304-6677

NPI assigned

Apr 16, 2018

Organization subpart

No

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

Authorized official

Name

Jeffrey Lane Brooks, MDNPI 1073541876

Title

President

Phone

(707) 252-4955

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Jeffrey Lane Brooks, MD

  • Vascular Surgery Physician
  • Napa, CA
  • NPI 1073541876

  Multi-Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Nelson R Maldonado, M.D.

  • Surgery Physician
  • Grass Valley, CA
  • NPI 1508921305
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1124515119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 TRANCAS ST STE 2C",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582944",
            "telephone_number": "707-252-4955",
            "fax_number": "866-304-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 TRANCAS ST STE 2C",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582944",
            "telephone_number": "707-252-4955",
            "fax_number": "866-304-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY BROOKS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-252-4955",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G51713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David S Jeffries, PSYCH TECH
• Laraine Jeffries
• Mia Z Jehanno, DPT
• Alexis Jenkins
• Terricka Jennings

• Vascular Surgery Physician in Napa, CA
• Providers in Napa, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.