Marlon Brooks, MD

Primary specialty

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X

License

G71729 Issued in CA

Practice address

10515 Balboa Blvd
Suite 160
Granada Hills, CA 91344-6343

Phone

(818) 831-6611

Fax

(818) 831-3836

NPI assigned

Jun 28, 2006

Last updated

Nov 14, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

University of Utah School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brooks Womens Center

  • Obstetrics & Gynecology Physician
  • Granada Hills, CA
  • NPI 1700133451
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1346278587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 BALBOA BLVD",
            "address_2": "SUITE 160",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446343",
            "telephone_number": "818-831-6611",
            "fax_number": "818-831-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 BALBOA BLVD",
            "address_2": "SUITE 160",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446343",
            "telephone_number": "818-831-6611",
            "fax_number": "818-831-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "MARLON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "G71729",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "CA",
            "license": "G71729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G717291",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Brinton, PHARM.D.
• Broadwater Casitas Care Center, LLC (Casitas Care Center)
• Broadwater Rinaldi Care Center, LLC (Rinaldi Convalescent Hospital)
• Brock Lorenz DMD Ms Inc
• Brooks Womens Center
• Brougham Ambulance
• Shannon Broussalian, M.S., CCC-SLP
• Janet Broutian, PHARMD
• Joanne Broutt
• Carolyn Anne Browne, D.D.S.

• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.