The Medical Offices of Kenneth R Brooks, Professional Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

THE MEDICAL OFFICES OF KENNETH R BROOKS, PROFESSIONAL CORPORATION

Doing business as

Brooks Medical Clinics

Practice address

3431 Broadway St
Suite a-8
American Canyon, CA 94503-1228

Phone

(707) 645-7229

Fax

(707) 745-7431

NPI assigned

Sep 11, 2012

Last updated

Sep 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth R Brooks, MD

Title

President

Phone

(707) 645-7229

Specialties & licenses 1

Addresses

Other names 1

• Brooks Medical Clinics Doing business as

Locations

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1427308121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3431 BROADWAY ST",
            "address_2": "SUITE A-8",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945031228",
            "telephone_number": "707-645-7229",
            "fax_number": "707-745-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3431 BROADWAY ST",
            "address_2": "SUITE A-8",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945031228",
            "telephone_number": "707-645-7229",
            "fax_number": "707-745-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICAL OFFICES OF KENNETH R BROOKS, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-645-7229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooks Medical Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Spiecker
• Sharde Surrell
• Diane Joyce Sutton, M.D.
• Cynthia Tat
• Jennievie Taylor
• Myla Thompson
• Monica Tipton
• Andrea Denise Torres
• Belinda Lashae Turner
• Jean Silagan Unajan, NURSE PRACTITIONER

• Primary Care Clinic/Center in American Canyon, CA
• Providers in American Canyon, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.