Kirby Lamarr Brooks Sr.
Individual provider Active NPI Non-emergency Medical Transport (VAN) · Ivor, VA
NPI 1164944997 · NPPES record last updated Jul 13, 2017
Key facts
- NPI
- 1164944997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- Practice address
- 36121 Broadwater Rd
Ivor, VA 23866-2919 - Phone
- (757) 647-7242
- Fax
- (757) 925-9192
- NPI assigned
- Jul 13, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Yes |
Addresses
Primary practice location
36121 Broadwater Rd
Ivor, VA 23866-2919
Mailing address
PO Box 402
Ivor, VA 23866-0402
Phone (757) 647-7242
Other providers in Ivor, VA
- Ramona Austin
- Lois Jean Brown
- Stevie Ervil
- Martha Pruitt Holdsworth
- Horizon Health Services Inc
- Horizon Health Services Inc
All providers in Ivor, VA · Non-emergency Medical Transport (VAN) in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2017. 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.