Active NPI
Timothy Ray Brooks, M.D.
- Family Medicine Physician
- Norfolk, VA
National Provider Identifier
1184919573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101252343
- Practice address
- 1721 Admiral Taussig Blvd
Norfolk, VA 23511-2802 - Phone
- (757) 953-9000
- NPI assigned
- Jun 14, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 0101252343 | VA | |
| Family Medicine Physician | 207Q00000X | 0101252343 | VA | Primary |
Addresses
Primary practice location
1721 Admiral Taussig Blvd
Norfolk, VA 23511-2802
Mailing address
Uss Kearsarge (LHD 3)
Fpo, AE 09534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101252343 | VA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1184919573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "USS KEARSARGE (LHD 3)",
"city": "FPO",
"state": "AE",
"postal_code": "09534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 ADMIRAL TAUSSIG BLVD",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235112802",
"telephone_number": "757-953-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "TIMOTHY",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-14",
"last_updated": "2023-10-12",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0101252343",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101252343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.