Organization Active NPI

Brooks Surgical Assisting LLC

  • Surgical Physician Assistant
  • Lone Tree, CO
National Provider Identifier
1316615180
Registry record updated Sep 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
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

Updated by the provider on Sep 12, 2021

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)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246ZC0007X
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & 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.

Verify at the official NPI Registry.