Jeffrey Harold Brooks, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

3590 Issued in AR

Practice address

875 Union Ave
Room N328
Memphis, TN 38103-3513

Phone

(901) 448-6236

Fax

(901) 448-0548

NPI assigned

Jun 27, 2008

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

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Maxillofacial SurgeryAlso: Dentist, Oral Surgery

Education

University of Mississippi Medical Center School of Dentistry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of TennesseeGroup PAC ID 3072421213, 64 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Regional One Health Hospital, Memphis, TN, CCN 440152

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• University of Tennessee

  • Family Medicine Physician
  • Jackson, TN
  • NPI 1780686436
  Medicare reassignment Care Compare group NPD
• University of Tennessee

  dba Univ. of TN Health Science Center College of Nursing

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1174221337
  NPD
• University of Tennessee

  • Oral and Maxillofacial Pathology Dentistry
  • Memphis, TN
  • NPI 1487723094
  NPD
• North Mississippi Oral & Maxillofacial Surgery Associates, PA

  • Oral and Maxillofacial Pathology Dentistry
  • Tupelo, MS
  • NPI 1831104793
  NPD (past)
• Oral & Maxillofacial Surgery Clinic of South Misssissippi, P.a.

  dba Hattiesburg Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Hattiesburg, MS
  • NPI 1578596060
  NPD (past)
• South Mississippi Oral Surgery & Implant Center PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Gulfport, MS
  • NPI 1780466300
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Shelby County Health Care Corporation

  dba Regional One Health

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1144213117
  Care Compare affiliation

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1265694590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 UNION AVENUE",
            "address_2": "ROOM N328",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38163",
            "telephone_number": "901-448-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 UNION AVE",
            "address_2": "ROOM N328",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033513",
            "telephone_number": "901-448-6236",
            "fax_number": "901-448-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JEFFREY",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AR",
            "license": "3590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie Brooks, M.D.
• Claude M Brooks, BS
• Elissa Brooks
• Glenda Brooks, L.C.S.W.
• Janice Isaac Brooks, DNP, PMHNP-BC
• Kimberly Brooks
• Lacasta D Brooks
• Lai D Brooks, NP
• Lily Brooks, MD
• Nicholas Cornell Brooks, DDS

• Oral and Maxillofacial Surgery (Dentist) in Memphis, TN
• Providers in Memphis, TN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.