Active NPI
Gary Roger Brooks, PHD
- Psychologist
- Temple, TX
National Provider Identifier
1154672574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0-1381
- Practice address
- 2027 S 61St St
Suite 122
Temple, TX 76504-6867 - Phone
- (254) 778-6922
- Fax
- (254) 778-4332
- NPI assigned
- Sep 25, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0-1381 | TX | Primary |
Addresses
Primary practice location
2027 S 61St St
Suite 122
Temple, TX 76504-6867
Mailing address
2027 S 61St St
Suite 122
Temple, TX 76504-6867
Phone (254) 778-6922
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0-1381 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348531200000",
"number": "1154672574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2027 S 61ST ST",
"address_2": "SUITE 122",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765046867",
"telephone_number": "254-778-6922",
"fax_number": "254-778-4332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2027 S 61ST ST",
"address_2": "SUITE 122",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765046867",
"telephone_number": "254-778-6922",
"fax_number": "254-778-4332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "GARY",
"middle_name": "ROGER",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-25",
"last_updated": "2012-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "0-1381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.