Brooke Burns, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0102205327 Issued in VA

Practice address

1699 N Imperial Ave
El Centro, CA 92243-1320

Phone

(760) 352-2551

NPI assigned

Jun 19, 2014

Last updated

Feb 5, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18289/brand/1/csg/1/fhir/r4

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.

• Bradley Free Clinic of Roanoke Valley

  dba Bradley Free Clinic

  • Primary Care Clinic/Center
  • Roanoke, VA
  • NPI 1902157712
  NPD (past)

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1245644095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 VINE ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922433672",
            "telephone_number": "760-791-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 N IMPERIAL AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922431320",
            "telephone_number": "760-352-2551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 3rd St SW",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240164612",
            "country_code": "US",
            "telephone_number": "540-344-5156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5525 Catawba Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Catawba",
            "state": "VA",
            "postal_code": "240702115",
            "country_code": "US",
            "telephone_number": "540-375-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNS",
        "first_name": "BROOKE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0102205327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Bullock, LCSW
• Herbert Ray Bumgart Jr.
• Janet Lavon Burgess, RDHAP, BS
• Alejandra Burgos Dominguez
• Adli Dennise Burgos
• Juan David Burruel
• Janet Bustos
• Eleijah Nicole Butler
• C.H.a.R.L.E.E. Family Care, Inc.
• C.H.a.R.L.E.E. Family Care, Inc.

• Psychiatry Physician in El Centro, CA
• Providers in El Centro, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.