Individual provider Active NPI

Earle Brooks

  • Adult Companion
  • St Petersburg, FL
National Provider Identifier
1164168175
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
License
237693 Issued in FL
Practice address
333 3Rd Ave N Ste 410
St Petersburg, FL 33701-3899
Phone
(727) 353-3434
NPI assigned
May 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X 237693 FL Primary

Addresses

Primary practice location

333 3Rd Ave N Ste 410
St Petersburg, FL 33701-3899

Mailing address

333 3Rd Ave N Ste 410
St Petersburg, FL 33701-3899
Phone (727) 353-3434

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.preferhome.com/florida/st-pete-south Direct

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

State licenses

LicenseStateTypeSpecialty
237693FLMDAdult Companion

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1164168175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 3RD AVE N STE 410",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013899",
            "telephone_number": "727-353-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 3RD AVE N STE 410",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013899",
            "telephone_number": "727-353-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "EARLE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "FL",
            "license": "237693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.preferhome.com/florida/st-pete-south",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "St. Petersburg",
            "address_1": "333 3rd Ave N Ste 410",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337013899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.