Laurence Winfield Brooks, M.D.
Individual provider Active NPI Emergency Medicine Physician · Vail, CO
NPI 1164534939 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164534939
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 21177 (CO)
- Practice address
- 181 W Meadow Dr
Vail Valley Medical Center
Vail, CO 81657-5242 - Phone
- (970) 479-7225
- Fax
- (970) 479-7216
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21177 | CO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vail Clinic, Inc. | Past | Accepting new patients | |
| Breckenridge Medical Clinic, LLC | Emergency Medicine | Past | Accepting new patients |
| VVMC Diversified Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 21177 | CO | Yes |
Addresses
Primary practice location
181 W Meadow Dr
Vail Valley Medical Center
Vail, CO 81657-5242
Mailing address
27 Main St # C301
Edwards, CO 81632-8109
Phone (970) 569-3600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1211770 | Medicaid | CO |
Other providers in Vail, CO
- Kiara Bowen
- Helen Clare Bradley
- Katherine Branson
- Gayle L Braunholtz
- Andrew Broderick
- Joanna Lynn Brown
- Nicholas Peter Brown
- Cassidy Margaret Burdette
- Barbara Burns
- John R Burris
All providers in Vail, CO · Emergency Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.