Brooks Medical Group, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BROOKS MEDICAL GROUP, INC.

Practice address

925B Peachtree St NE # 376
Atlanta, GA 30309-3918

Phone

(404) 287-4637

Fax

(404) 393-1204

NPI assigned

Oct 25, 2008

Organization subpart

No

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

Authorized official

Name

Alberto Estevez

Title

Ceo

Phone

(404) 287-4637

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1224892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224892800000",
    "number": "1346493061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925B PEACHTREE ST NE # 376",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093918",
            "telephone_number": "404-287-4637",
            "fax_number": "404-393-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925B PEACHTREE ST NE # 376",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093918",
            "telephone_number": "404-287-4637",
            "fax_number": "404-393-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-25",
        "last_updated": "2008-10-25",
        "status": "A",
        "authorized_official_last_name": "ESTEVEZ",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-287-4637"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookhaven Dental Care, P.C.
• Brookhaven Eye Care Inc.
• Brookhaven Family Dentistry, P. C.
• Brookhaven Renal Systems, LLC
• Brookhaven Speech,LLC
• Juanita Annette Brooks-Warren, M. D.
• Addie Laforest Brooks, MSHA, RDN, CSO, LD
• Bianca Brooks, PHD
• Brandon Brooks
• Brianna Monai Brooks, LPC

• Family Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2008; 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.