Organization Active NPI

Marechal-Neil Brooks,M.D.,P.C.

  • Gastroenterology Physician
  • Norfolk, VA
National Provider Identifier
1144539941
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0101044736 Issued in VA
Legal business name
MARECHAL-NEIL BROOKS,M.D.,P.C.
Practice address
930 Majestic Ave
Ste.210
Norfolk, VA 23504-4055
Phone
(757) 627-6038
NPI assigned
Sep 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Authorized official

Name
Dr. Marechal-Neil Brooks, M.D.
Title
Physician/Owner
Phone
(757) 627-6038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 0101044736 VA Primary

Addresses

Primary practice location

930 Majestic Ave
Ste.210
Norfolk, VA 23504-4055

Mailing address

PO Box 2554
Norfolk, VA 23501-2554

Other identifiers 1

IdentifierTypeStateIssuer
1629089768MedicaidVA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1144539941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2554",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235012554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 MAJESTIC AVE",
            "address_2": "STE.210",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235044055",
            "telephone_number": "757-627-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARECHAL-NEIL BROOKS,M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "MARECHAL-NEIL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "757-627-6038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101044736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629089768",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.