Individual provider Active NPI

Warren Alan Broocker

  • Obstetrics & Gynecology Physician
  • Richmond, VA
National Provider Identifier
1225002041
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101026911 Issued in VA
Practice address
10710 Midlothian Turnpike
Ste 200
Richmond, VA 23235-4759
Phone
(804) 897-2100
Fax
(804) 897-9074
NPI assigned
Feb 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101026911 VA Primary

Addresses

Primary practice location

10710 Midlothian Turnpike
Ste 200
Richmond, VA 23235-4759

Mailing address

10710 Midlothian Turnpike
Ste 200
Richmond, VA 23235-4759
Phone (804) 897-2100

Other identifiers 1

IdentifierTypeStateIssuer
6290558MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Richmond, Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1225002041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 MIDLOTHIAN TURNPIKE",
            "address_2": "STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232354759",
            "telephone_number": "804-897-2100",
            "fax_number": "804-897-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 MIDLOTHIAN TURNPIKE",
            "address_2": "STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232354759",
            "telephone_number": "804-897-2100",
            "fax_number": "804-897-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOCKER",
        "first_name": "WARREN",
        "middle_name": "ALAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101026911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6290558",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.