Organization Active NPI

Brookiel Community Services, Inc

  • Community/Behavioral Health Agency
  • Durham, NC
National Provider Identifier
1376379131
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BROOKIEL COMMUNITY SERVICES, INC
Doing business as
Brookiel Community Services, INC
Practice address
555 S Mangum St Ste 100
Durham, NC 27701-4689
Phone
(919) 619-6509
NPI assigned
Sep 10, 2024
Last updated
Sep 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Dewayne Brooks
Title
Owner
Phone
(919) 619-6509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

555 S Mangum St Ste 100
Durham, NC 27701-4689

Mailing address

555 S Mangum St Ste 100
Durham, NC 27701-4689
Phone (919) 619-6509

Other names 1

  • Brookiel Community Services, INC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1376379131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S MANGUM ST STE 100",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277014689",
            "telephone_number": "919-619-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S MANGUM ST STE 100",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277014689",
            "telephone_number": "919-619-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKIEL COMMUNITY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "DEWAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-619-6509"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookiel Community Services, INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookiel Community Services, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.

Verify at the official NPI Registry.