Organization Active NPI

Brooks Corp

  • Sports Medicine (Family Medicine) Physician
  • Littleton, CO
National Provider Identifier
1386992782
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
12345 Issued in CO
Legal business name
BROOKS CORP
Practice address
9695 S Yosemite St
Littleton, CO 80124-2888
Phone
(720) 666-0000
NPI assigned
Aug 16, 2012
Last updated
Sep 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
David Klass
Title
Ceo
Phone
(720) 666-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QS0010X 12345 CO Primary

Addresses

Primary practice location

9695 S Yosemite St
Littleton, CO 80124-2888

Mailing address

9695 S Yosemite St
Littleton, CO 80124-2888
Phone (720) 666-0000

National Provider Directory

National Provider Directory
Tax ID family
Brooks Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1386992782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9695 S YOSEMITE ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801242888",
            "telephone_number": "720-666-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9695 S YOSEMITE ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801242888",
            "telephone_number": "720-666-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "KLASS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-666-0000"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CO",
            "license": "12345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.