Individual provider Active NPI

Mitchell D Brooks, M.D.

  • Orthopaedic Surgery Physician
  • Dallas, TX
National Provider Identifier
1265564173
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G7174 Issued in TX
Practice address
8333 Douglas Ave
Suite 350
Dallas, TX 75225-5845
Phone
(214) 987-3888
Fax
(214) 987-3889
NPI assigned
Mar 9, 2007
Last updated
Oct 12, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G7174 TX Primary

Addresses

Primary practice location

8333 Douglas Ave
Suite 350
Dallas, TX 75225-5845

Mailing address

8333 Douglas Ave
Suite 350
Dallas, TX 75225-5845
Phone (214) 987-3888

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G7174TXMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1265564173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 DOUGLAS AVE",
            "address_2": "SUITE 350",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255845",
            "telephone_number": "214-987-3888",
            "fax_number": "214-987-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 DOUGLAS AVE",
            "address_2": "SUITE 350",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255845",
            "telephone_number": "214-987-3888",
            "fax_number": "214-987-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "MITCHELL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "G7174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.