Individual provider Active NPI

Jeffrey Brooks, M.D.

  • Specialist
  • New Canaan, CT
National Provider Identifier
1437265808
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
042397 Issued in CT
Practice address
166 Cherry St
Suite B
New Canaan, CT 06840-4828
Phone
(203) 323-7331
Fax
(203) 324-7027
NPI assigned
Aug 21, 2006
Last updated
Feb 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 042397 CT Primary

Addresses

Primary practice location

166 Cherry St
Suite B
New Canaan, CT 06840-4828

Mailing address

166 Cherry St
Suite B
New Canaan, CT 06840-4828
Phone (203) 323-7331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041213000922 CT Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 4183681042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Columbia University College of Physicians and Surgeons, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Surgery and Sports Medicine Center IncGroup PAC ID 1951293240, 2 clinicians

Practice addresses (Care Compare)

166 Cherry St
Suite B
New Canaan, CT 06840-4828
Phone (203) 323-7331

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042397CTMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Surgery & Sports Medicine Center Inc Specialist CurrentSince Jan 1, 2005 Accepting new patients

Locations

166 Cherry St
Ste B
New Canaan, CT 06840
Phone (203) 323-7331

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1437265808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 CHERRY ST",
            "address_2": "SUITE B",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068404828",
            "telephone_number": "203-323-7331",
            "fax_number": "203-324-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 CHERRY ST",
            "address_2": "SUITE B",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068404828",
            "telephone_number": "203-323-7331",
            "fax_number": "203-324-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "042397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Canaan, CT

Sources for this page

Verify at the official NPI Registry.