NPIMap

Organization Active NPI

D. Wayne Brooks, M.D., P.a.

  • Physical Medicine & Rehabilitation Physician
  • Springdale, AR
National Provider Identifier
1134205271
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MC1464 Issued in AR
Legal business name
D. WAYNE BROOKS, M.D., P.A.
Practice address
601 W. Maple
Suite 511
Springdale, AR 72764-5376
Phone
(479) 927-2221
Fax
(479) 927-2101
NPI assigned
Oct 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Debbie J. Brooks
Title
Business Manager
Phone
(479) 927-2221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MC1464 AR Primary

Addresses

Primary practice location

601 W. Maple
Suite 511
Springdale, AR 72764-5376

Mailing address

601 W. Maple
Suite 511
Springdale, AR 72764-5376
Phone (479) 927-2221

National Provider Directory

National Provider Directory

Locations

601 W Maple Ave
Ste 511
Springdale, AR 72764
Phone (479) 751-3202

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134205271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W. MAPLE",
            "address_2": "SUITE 511",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645376",
            "telephone_number": "479-927-2221",
            "fax_number": "479-927-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W. MAPLE",
            "address_2": "SUITE 511",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645376",
            "telephone_number": "479-927-2221",
            "fax_number": "479-927-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. WAYNE BROOKS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "479-927-2221"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AR",
            "license": "MC1464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.