Paul Cephus Brooks III, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6247 Issued in KY

Practice address

3600 Lexington Rd
Louisville, KY 40207-2938

Phone

(502) 585-3926

Fax

(502) 585-1029

NPI assigned

Feb 5, 2007

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 KY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Paul C Brooks DMD. PLLC

  • General Practice Dentistry
  • Louisville, KY
  • NPI 1144611021
  NPD (past) Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285773374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 LEXINGTON RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072938",
            "telephone_number": "502-585-3926",
            "fax_number": "502-585-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 LEXINGTON RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072938",
            "telephone_number": "502-585-3926",
            "fax_number": "502-585-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "PAUL",
        "middle_name": "CEPHUS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hubert Brooks, APSS
• Joseph Brooks
• Kristina A. Brooks, M.ED., LPATA
• Lauren Elizabeth Brooks, DPT
• Matthew David Brooks, PHARMD
• Richard Brooks
• Ruby Denise Brooks, MFT-A
• Sandra E Brooks, M.D.
• Sara Jade Brooks, LPAT
• Sara Jo Brooks, OTD, OTR/L

• General Practice Dentistry in Louisville, KY
• Providers in Louisville, KY by specialty
• General Practice Dentistry in Kentucky

• 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.
• 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.