Individual provider Active NPI

Rodney W Brooks, MD, MBA

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1407854029
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D43636 Issued in MD
Practice address
660 Pennsylvania Ave SE Ste 100
Washington, DC 20003-4354
Phone
(202) 546-4504
Fax
(410) 544-6136
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D43636 MD Primary

Addresses

Primary practice location

660 Pennsylvania Ave SE Ste 100
Washington, DC 20003-4354

Mailing address

660 Pennsylvania Ave SE Ste 100
Washington, DC 20003-4354
Phone (202) 546-4504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D43636MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baltimore Medical System, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1407854029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 PENNSYLVANIA AVE SE STE 100",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034354",
            "telephone_number": "202-546-4504",
            "fax_number": "410-544-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 PENNSYLVANIA AVE SE STE 100",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034354",
            "telephone_number": "202-546-4504",
            "fax_number": "410-544-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "RODNEY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D43636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.