Active NPI
Bryan William Brooks, MD
- Obstetrics & Gynecology Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 38535
- Practice address
- 890 W Faris Rd Ste 470
Greenville, SC 29605-4281 - Phone
- (864) 455-1600
- Fax
- (864) 455-3095
- NPI assigned
- Jun 24, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD-48852 | IA | |
| Obstetrics & Gynecology Physician | 207V00000X | 38535 | SC | Primary |
Addresses
Primary practice location
890 W Faris Rd Ste 470
Greenville, SC 29605-4281
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 695-6697
Other practice location 1
525 Verdae Blvd Ste 150
Greenville, SC 29607-4021
Phone (864) 720-1900
Other practice location 2
102 Medical Park Court
Clinton, SC 29325-4021
Phone (864) 938-0087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190822002544 | SC | Practitioner - Obstetrics/Gynecology | 6406164284 | Reassigns benefits to 1 organization |
| I20210908000822 | IA | Practitioner - Obstetrics/Gynecology | 6406164284 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of South Carolina School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
890 W Faris Rd
Suite 470
Greenville, SC 29605-4281
Phone (864) 455-1600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-48852 | IA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Health System | Obstetrics & Gynecology | Current | Accepting new patients |
| Community Health Care, Inc. | Current | Accepting new patients | |
| Community Health Care Inc | Current | Accepting new patients | |
| Community Health Care, Inc. | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Musc Affiliate Physicians | Obstetrics & Gynecology | Past | Accepting new patients |
| Prisma Health-Upstate | Past | Accepting new patients | |
| Genesis Health System | Past | Accepting new patients |
Locations
865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000
210 W 53rd St
Davenport, IA 52806
Phone (563) 386-3436
500 W River Dr
Davenport, IA 52801
Phone (563) 327-2035
1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160
1510 E Rusholme St
Davenport, IA 52803
Phone (563) 359-6633
619 5th St
Durant, IA 52747
Phone (563) 785-4487
Interoperability endpoints
- bbrooks19781@direct.ghs.myhfn.org
Organizations & group practices 10
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.
-
- Federally Qualified Health Center (FQHC)
- East Moline, IL
- NPI 1669360459
-
- Clinical Medical Laboratory
- Davenport, IA
- NPI 1649461310
-
- Federally Qualified Health Center (FQHC)
- Davenport, IA
- NPI 1932193224
-
- Family Medicine Physician
- Davenport, IA
- NPI 1477654945
Obstetrics & Gynecology
-
- Critical Access Hospital
- De Witt, IA
- NPI 1649368523
-
- Family Medicine Physician
- Charleston, SC
- NPI 1548849482
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1649726738
-
- General Acute Care Hospital
- Davenport, IA
- NPI 1972542264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1184006348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-695-6697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 W FARIS RD STE 470",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054281",
"telephone_number": "864-455-1600",
"fax_number": "864-455-3095"
}
],
"practiceLocations": [
{
"address_1": "525 Verdae Blvd Ste 150",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296074021",
"country_code": "US",
"telephone_number": "864-720-1900",
"fax_number": "864-720-1901",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "102 Medical Park Court",
"address_purpose": "LOCATION",
"city": "Clinton",
"state": "SC",
"postal_code": "293254021",
"country_code": "US",
"telephone_number": "864-938-0087",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROOKS",
"first_name": "BRYAN",
"middle_name": "WILLIAM",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-24",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IA",
"license": "MD-48852",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "SC",
"license": "38535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.