Herman David Brooks, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A34144 Issued in CA

Practice address

2640 Industry Way Ste B
Lynwood, CA 90262-4000

Phone

(310) 639-5983

Fax

(310) 639-5870

NPI assigned

Jan 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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 Medicine

State licenses

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225181498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 INDUSTRY WAY STE B",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902624000",
            "telephone_number": "310-639-5983",
            "fax_number": "310-639-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 INDUSTRY WAY STE B",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902624000",
            "telephone_number": "310-639-5983",
            "fax_number": "310-639-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "HERMAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A34144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A341440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian M Lee MD Inc
• Rigoverto Cabrera Briceno, PH.D.
• Jazmine Briones
• Lisa A Brockman, DO
• Thomas Brodie, M.D
• Branden Brown, RN
• Janee' Brown, NP
• Kenneth Adonis Brown
• Lanee Brown
• Stephen Joseph Brown, NP

• Psychiatry Physician in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.