Active NPI
Laura Winsor Brooks, P.A.
- Medical Physician Assistant
- Broomall, PA
National Provider Identifier
1245553866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA001954L
- Practice address
- 1999 Sproul Rd
Ste 25
Broomall, PA 19008-3508 - Phone
- (610) 353-6400
- Fax
- (610) 356-1204
- NPI assigned
- Mar 10, 2010
- Last updated
- Mar 10, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA001954L | PA | Primary |
Addresses
Primary practice location
1999 Sproul Rd
Ste 25
Broomall, PA 19008-3508
Mailing address
1999 Sproul Rd
Ste 25
Broomall, PA 19008-3508
Phone (610) 353-6400
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)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA001954L | PA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268179200000",
"number": "1245553866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1999 SPROUL RD",
"address_2": "STE 25",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190083508",
"telephone_number": "610-353-6400",
"fax_number": "610-356-1204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1999 SPROUL RD",
"address_2": "STE 25",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190083508",
"telephone_number": "610-353-6400",
"fax_number": "610-356-1204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "LAURA",
"middle_name": "WINSOR",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-10",
"last_updated": "2010-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA001954L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broomall, PA
- Ashley Brawley
- Jennifer Mary Brennan, AGNPPC-BC
- Richard Stephen Brenner, O.D.
- Mark Prince Brigham, M.D.
- David Christopher Brooks, M.D., PH.D.
- Broomall Care Center LLC (Marple Gardens Rehabilitation and Nursing Center)
- Broomall Dental Health PC
- Broomall Eye Care, P.C.
- Broomall Healthcare Group, Inc. (Broomall Manor)
- Broomall Medical Group, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.