Active NPI
David Francis Brooks, MA-CCC/SLP
- Speech-Language Pathologist
- St. Albans, NY
National Provider Identifier
1306804182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 010079-1
- Practice address
- 179 Street and Linden Blvd
St. Albans, NY 11425 - Phone
- (718) 526-1000
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 010079-1 | NY | Primary |
Addresses
Primary practice location
179 Street and Linden Blvd
St. Albans, NY 11425
Mailing address
110 Walker St
Staten Island, NY 10302-1659
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010079-1 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188432000000",
"number": "1306804182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 WALKER ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103021659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 STREET AND LINDEN BLVD",
"city": "ST. ALBANS",
"state": "NY",
"postal_code": "11425",
"telephone_number": "718-526-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "DAVID",
"middle_name": "FRANCIS",
"credential": "MA-CCC/SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2007-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "010079-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St. Albans, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.