Michael L Brooks MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

28845 Issued in NC

Legal business name

MICHAEL L BROOKS MD

Practice address

7729 NC 711 Highway
Pembroke, NC 28372-7729

Phone

(910) 521-4221

Fax

(910) 521-9266

NPI assigned

Apr 10, 2014

Organization subpart

No

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

Authorized official

Name

Michael L Brooks, MD

Title

Owner

Phone

(910) 521-4221

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brooks Medical Clinic Doing business as

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1194144881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7729 NC 711 HWY",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "28372",
            "telephone_number": "910-521-4221",
            "fax_number": "910-521-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7729 NC 711 HIGHWAY",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727729",
            "telephone_number": "910-521-4221",
            "fax_number": "910-521-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L BROOKS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-521-4221",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NC",
            "license": "28845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "C81848",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooks Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lakindra Niara McKnight
• Christina O McMillan, PT THERAPIST
• Lydia McNeill
• MCPC-5, LLC
• Metahealth,LLC
• Crystal Lynn Moore, FNP
• Jamie Lee Morgan, PA-C
• Swalanda A Morris
• Ms. Jane'S Professinal Center
• Ms. Shelvie'S Professional Center

• General Practice Physician in Pembroke, NC
• Providers in Pembroke, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.