Individual provider Active NPI

Christopher J M Brooks, MD

  • Plastic Surgery Physician
  • Hollywood, FL
National Provider Identifier
1184694952
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME92569 Issued in FL
Practice address
3800 Johnson St
Ste G
Hollywood, FL 33021-6030
Phone
(954) 501-0505
Fax
(954) 756-7560
NPI assigned
Jan 25, 2006
Last updated
Oct 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME92569 FL Primary

Addresses

Primary practice location

3800 Johnson St
Ste G
Hollywood, FL 33021-6030

Mailing address

3800 Johnson St
Ste G
Hollywood, FL 33021-6030
Phone (954) 501-0505

Other identifiers 1

IdentifierTypeStateIssuer
272091400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050506000611 FL Practitioner - Plastic and Reconstructive SurgeryPractitioner - Other (Physician) 0648239038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Columbia University College of Physicians and Surgeons, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1201 N 35TH Ave
Suite 200
Hollywood, FL 33021-5434
Phone (954) 501-0505

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Brooks MD PA Plastic Surgery CurrentSince Jun 1, 2011 Accepting new patients

Locations

100 SE 15th Ave
Ft Lauderdale, FL 33301
Phone (954) 607-1691

1201 N 35th Ave
Ste 200
Hollywood, FL 33021
Phone (954) 501-0505

3800 Johnson St
Ste G
Hollywood, FL 33021
Phone (954) 324-4080

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1184694952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 JOHNSON ST",
            "address_2": "STE G",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216030",
            "telephone_number": "954-501-0505",
            "fax_number": "954-756-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 JOHNSON ST",
            "address_2": "STE G",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216030",
            "telephone_number": "954-501-0505",
            "fax_number": "954-756-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "CHRISTOPHER",
        "middle_name": "J M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME92569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272091400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.