Individual provider Active NPI

John Carter Brooks, MD

  • Psychiatry Physician
  • Pittsburgh, PA
National Provider Identifier
1174560122
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD050105L Issued in PA
Practice address
401 Shady Ave
Suite a 107
Pittsburgh, PA 15206-4409
Phone
(412) 441-3305
Fax
(412) 441-3324
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD050105L PA Primary

Addresses

Primary practice location

401 Shady Ave
Suite a 107
Pittsburgh, PA 15206-4409

Mailing address

401 Shady Ave
Suite a 107
Pittsburgh, PA 15206-4409
Phone (412) 441-3305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111216000613 PA Practitioner - Psychiatry 2769657956 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Psychiatry CurrentSince Apr 26, 2017 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Persoma P.C. CurrentSince Feb 1, 2019 Accepting new patients
University of Pittsburgh Physicians CurrentSince Apr 26, 2017 Accepting new patients
Persad Center, Inc. PastSince Aug 15, 2014 Accepting new patients
Nancy Chubb PC PastSince May 23, 2015 Accepting new patients

Locations

2540 Monroeville Blvd
Monroeville, PA 15146
Phone (412) 206-1411

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

1910 Cochran Rd
Ste 345
Pittsburgh, PA 15220
Phone (412) 343-2805

3811 Ohara St
Pittsburgh, PA 15213
Phone (412) 624-2000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1174560122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SHADY AVE",
            "address_2": "SUITE A 107",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152064409",
            "telephone_number": "412-441-3305",
            "fax_number": "412-441-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SHADY AVE",
            "address_2": "SUITE A 107",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152064409",
            "telephone_number": "412-441-3305",
            "fax_number": "412-441-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JOHN",
        "middle_name": "CARTER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD050105L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.