Evan Walter Brooks, BSN, RN, CEN, CCRN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9601643 Issued in FL

Practice address

3600 Washington St
Hollywood, FL 33021-8216

Phone

(954) 518-5300

NPI assigned

May 10, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1376391664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 NW 85TH TER APT 1624",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241251",
            "telephone_number": "440-724-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 WASHINGTON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218216",
            "telephone_number": "954-518-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "EVAN",
        "middle_name": "WALTER",
        "name_prefix": "Mr.",
        "credential": "BSN, RN, CEN, CCRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9601643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Brockett, AUD
• Romina Bromberg, M.D.
• Jeffrey M Bronheim, DC
• Christopher J M Brooks, MD
• Delano Rasheem Robert Brooks, MD
• Lawrence Brooks, PH.D.
• Lindsay Brooks, PHARMD
• Suzzy Brooks, LCSW
• Meagan Victoria Brossmann, OTR/L
• Lashawn D Brothers

• Registered Nurse in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.