Active NPI
Charles Nelson Brooks, MD
- Orthopaedic Surgery Physician
- Bellevue, WA
National Provider Identifier
1306903737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 2520925323
- Practice address
- 18 Cascade Key
Bellevue, WA 98006-1002 - Phone
- (425) 747-1111
- Fax
- (425) 747-1112
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 2520925323 | WA | Primary |
Addresses
Primary practice location
18 Cascade Key
Bellevue, WA 98006-1002
Mailing address
18 Cascade Key
Bellevue, WA 98006-1002
Phone (425) 747-1111
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2520925323 | WA | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306903737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 CASCADE KEY",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980061002",
"telephone_number": "425-747-1111",
"fax_number": "425-747-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 CASCADE KEY",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980061002",
"telephone_number": "425-747-1111",
"fax_number": "425-747-1112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "CHARLES",
"middle_name": "NELSON",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WA",
"license": "2520925323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.