Active NPI
Brooks Surgical Assisting LLC
- Surgical Physician Assistant
- Lone Tree, CO
National Provider Identifier
1316615180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Legal business name
- BROOKS SURGICAL ASSISTING LLC
- Practice address
- 10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522 - Phone
- (720) 225-1000
- NPI assigned
- Sep 5, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jaime Brookss, CSFA
- Title
- Surgical First Assistant
- Phone
- (520) 269-3779
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | |||
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522
Mailing address
1901 N King St
Tucson, AZ 85749-8272
Phone (520) 269-3779
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631404800000",
"number": "1316615180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 N KING ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857498272",
"telephone_number": "520-269-3779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10101 RIDGEGATE PKWY",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801245522",
"telephone_number": "720-225-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKS SURGICAL ASSISTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-05",
"last_updated": "2021-09-12",
"certification_date": "2021-09-12",
"status": "A",
"authorized_official_last_name": "BROOKSS",
"authorized_official_first_name": "JAIME",
"authorized_official_title_or_position": "SURGICAL FIRST ASSISTANT",
"authorized_official_telephone_number": "520-269-3779",
"authorized_official_credential": "CSFA"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lone Tree, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.