Brooks G Cofield II, D.O.

Primary specialty

SpecialistTaxonomy code 174400000X

License

DO12922 Issued in OR

Practice address

545 SE Oak St
Ste B
Hillsboro, OR 97123-4117

Phone

(503) 648-6159

Fax

(503) 648-8235

NPI assigned

Dec 9, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Clackamas Dermatology PC

  dba Goodskin Dermatology

  • Dermatology Physician
  • Clackamas, OR
  • NPI 1700221397
  NPD

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1215912407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 SE OAK ST",
            "address_2": "STE B",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234117",
            "telephone_number": "503-648-6159",
            "fax_number": "503-648-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 SE OAK ST",
            "address_2": "STE B",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234117",
            "telephone_number": "503-648-6159",
            "fax_number": "503-648-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFIELD",
        "first_name": "BROOKS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "DO12922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169839",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coast to Coast Health Group, LLC
• Diana Coats-Langford, LPC
• Josiah A Cobb, DPT
• Sheldon R Cober, MD
• Mareli Coetzer, DO
• Abrielle Cogen
• Toby J Coghill
• Mara O'Brien Colbert, MD
• Savannah Cole
• John Milton Coletti Jr., M.D.

• Specialist in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.