Active NPI
Robert Edward Brooks, CRNA
- Certified Registered Nurse Anesthetist
- Dallas, TX
National Provider Identifier
1164489183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP126915
- Practice address
- 6606 LBJ Fwy Ste 200
Dallas, TX 75240-6524 - Phone
- (972) 233-1999
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | C00309 | AR | |
| Certified Registered Nurse Anesthetist | 367500000X | 72598 | OK | |
| Certified Registered Nurse Anesthetist | 367500000X | APN0000010344 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | AP126915 | TX | Primary |
Addresses
Primary practice location
6606 LBJ Fwy Ste 200
Dallas, TX 75240-6524
Mailing address
PO Box 840853
Dallas, TX 75284-0853
Phone (972) 715-5000
Other practice location 1
3205 S Crescent Drive
Bryant, AR 72022
Phone (870) 733-4086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115532701 | Medicaid | AR |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72598 | OK | MD | Certified Registered Nurse Anesthetist |
| APN0000010344 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Partners PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Southwestern Physician Services LLC | Past | Accepting new patients | |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Past | Accepting new patients | |
| Midstate Medical Services PA | Past | Accepting new patients | |
| Trident Anesthesia Group, LLC | Past | Accepting new patients | |
| Arkansas Red Anesthesia | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Barbara Lazerus Crna Ms | Past | Accepting new patients | |
| Crittenden Hospital Association | Past | Accepting new patients | |
| Mobile Anesthesia, LLC | Past | Accepting new patients | |
| Kentucky Anesthesia Group, PSC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Jonesboro Anesthesia Inc | Past | Accepting new patients |
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Savannah, TN
- NPI 1225307507
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1215995816
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Malvern, AR
- NPI 1326002684
-
- Anesthesiology Physician
- West Memphis, AR
- NPI 1821113879
-
- Anesthesiology Physician
- Jonesboro, AR
- NPI 1043228448
-
- Anesthesiology Physician
- Georgetown, KY
- NPI 1073608634
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Hot Springs, AR
- NPI 1851315501
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1992943484
-
- Anesthesiology Physician
- Jonesboro, AR
- NPI 1992036032
-
- Anesthesiology Physician
- Lawton, OK
- NPI 1083640601
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1376595520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602201600000",
"number": "1164489183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840853",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840853",
"telephone_number": "972-715-5000",
"fax_number": "972-715-9976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6606 LBJ FWY STE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752406524",
"telephone_number": "972-233-1999"
}
],
"practiceLocations": [
{
"address_1": "3205 S CRESCENT DRIVE",
"address_purpose": "LOCATION",
"city": "BRYANT",
"state": "AR",
"postal_code": "72022",
"country_code": "US",
"telephone_number": "870-733-4086",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROOKS",
"first_name": "ROBERT",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2020-10-09",
"certification_date": "2020-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "C00309",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "72598",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "APN0000010344",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP126915",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115532701",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.