Individual provider Active NPI

Ryan Scott Brooks, M.D.

  • Family Medicine Physician
  • Denver, NC
National Provider Identifier
1306228473
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
202201333 Issued in NC
Practice address
409 Olin Way
Denver, NC 28037
Phone
(616) 267-7015
NPI assigned
Jun 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301107628 MI
Family Medicine Physician 207Q00000X 202201333 NC Primary

Addresses

Primary practice location

409 Olin Way
Denver, NC 28037

Mailing address

409 Olin Way
Denver, NC 28037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20221213001811 NC Practitioner - Family Practice 4789997016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atrium Health North Market Network LLCGroup PAC ID 1557743440, 158 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

409 Olin Way
Suite 1200
Denver, NC 28037-9250
Phone (704) 801-7320

4525 Cameron Valley Pkwy
Suite 4100D
Charlotte, NC 28211-4369
Phone (980) 402-1800

7482 Waterside Crossing Blvd
Denver, NC 28037-3005
Phone (704) 801-1360

7482 Waterside Crossing Blvd
Denver, NC 28037-3006
Phone (704) 827-0598

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
202201333NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atrium Health North Market Network LLC Family Medicine CurrentSince Dec 5, 2022 Accepting new patients
Carolinas Physicians Network Inc Family Medicine Past Accepting new patients

Locations

4525 Cameron Valley Pkwy
Ste 4100D
Charlotte, NC 28211
Phone (704) 801-7310

409 Olin Way
Ste 1200
Denver, NC 28037
Phone (704) 801-7320

Interoperability endpoints

  • Direct secure messaging: rbrooks1079139@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1306228473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 OLIN WAY",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "28037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 OLIN WAY",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "28037",
            "telephone_number": "616-267-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "RYAN",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-24",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301107628",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "202201333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

Verify at the official NPI Registry.