Active NPI
Cordell Brooks
- Contractor
- Columbus, OH
National Provider Identifier
1316793367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- PO Box 247224
Columbus, OH 43224-7224 - Phone
- (614) 203-3716
- NPI assigned
- Apr 29, 2024
- Last updated
- May 17, 2024
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
PO Box 247224
Columbus, OH 43224-7224
Mailing address
PO Box 247224
Columbus, OH 43224-7224
Phone (614) 203-3716
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715904000000",
"number": "1316793367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 247224",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432247224",
"telephone_number": "614-203-3716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 247224",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432247224",
"telephone_number": "614-203-3716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "CORDELL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-29",
"last_updated": "2024-05-17",
"certification_date": "2024-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.