Darren K Brooks, DOM, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC160378 Issued in OR

Practice address

3939 SW Bond Ave
504
Portland, OR 97239-4706

Phone

(505) 850-6965

NPI assigned

Apr 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Pearl Health Center,PC

  • Primary Care Clinic/Center
  • Portland, OR
  • NPI 1104918275
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1407079288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 SW BOND AVE",
            "address_2": "504",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394706",
            "telephone_number": "505-850-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 SW BOND AVE",
            "address_2": "504",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394706",
            "telephone_number": "505-850-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "DARREN",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "DOM, LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "947",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC160378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Kevin Brookmyer
• Leah Faith Brookner, MA, MSW
• Alexandra Ann Brooks
• Bridget Ann Brooks, LCSW
• Chelsea Brooks
• Debra Toby Brooks, LCSW
• Dinah Ladene Brooks, MSW, QMHP
• Elisa Bjorg Brooks
• Emma Rose Brooks, MD
• Ian Dineen Brooks, MD

• Acupuncturist in Portland, OR
• Providers in Portland, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.