Brooks Martin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G42705 Issued in CA

Practice address

1090 3Rd St
South Lake Tahoe, CA 96150-3485

Phone

(530) 543-5660

Fax

(530) 542-1619

NPI assigned

Jul 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bmartin65090@direct.renown.org

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.

• Barton Medical Foundation

  • Family Medicine Physician
  • South Lake Tahoe, CA
  • NPI 1750950499
  Medicare reassignment NPD
• Tahoe Carson Valley Medical Group Inc

  • Family Medicine Physician
  • South Lake Tahoe, CA
  • NPI 1508865528
  Medicare reassignment
• Barton Healthcare System

  • Primary Care Clinic/Center
  • South Lake Tahoe, CA
  • NPI 1154631703
  NPD (past)
• Barton Healthcare System

  • Home Health Agency
  • South Lake Tahoe, CA
  • NPI 1356348890
  NPD (past)
• Mt Grant General Hospital

  • Critical Access Hospital
  • Hawthorne, NV
  • NPI 1801844527
  NPD (past)
• Prime Healthcare Services - Reno LLC

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1801152566
  NPD (past)
• Sparks Family Hospital Inc

  • General Acute Care Hospital
  • Sparks, NV
  • NPI 1548250582
  NPD (past)
• Washoe Barton Medical Clinic a Nevada Nonprofit Corporation

  • Critical Access Hospital
  • Gardnerville, NV
  • NPI 1396799102
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1205834306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 EMERALD BAY RD",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506207",
            "telephone_number": "530-543-5659",
            "fax_number": "530-541-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 3RD ST",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961503485",
            "telephone_number": "530-543-5660",
            "fax_number": "530-542-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BROOKS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G42705",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "4413",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lenette Arvilla Mapes, RN
• Danielle Blatchley Margosian, ACADC
• Elizabeth Marinelli, PH.D.
• Victoria Marion
• Jacob Marquette, DO
• Donald Patrick Martin, MD
• Launa Jean Martin, CD, CLE
• Marci Martinelli, M.S.
• Dennis Anthony Martinez, MD
• Chris Wayne Mason

• Family Medicine Physician in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.

Verify at the official NPI Registry.