NPIMap

Organization Active NPI

Ralph a Brooks, M.D. LLC

  • Dermatology Physician
  • Fort Worth, TX
National Provider Identifier
1437550613
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
H3656 Issued in TX
Legal business name
RALPH A BROOKS, M.D. LLC
Practice address
6116 Oakbend TRL
Fort Worth, TX 76132-3925
Phone
(817) 521-3698
Fax
(817) 346-7408
NPI assigned
Sep 8, 2014
Last updated
Sep 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Authorized official

Name
Dr. Ralph A Brooks, MDNPI 1467565762
Title
Owner/Doctor
Phone
(817) 521-3698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X H3656 TX Primary

Addresses

Primary practice location

6116 Oakbend TRL
Fort Worth, TX 76132-3925

Mailing address

PO Box 1905
Fort Worth, TX 76101-1905
Phone (817) 521-3698

Other practice location 1

909 9th Ave
Ste 405
Fort Worth, TX 76104-3903
Phone (817) 870-9718

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL drbrooks@genmedtx.com

National Provider Directory

National Provider Directory

Locations

6116 Oakbend Trl
Fort Worth, TX 76132
Phone (817) 422-3181

909 9th Ave
Ste 405
Fort Worth, TX 76104
Phone (817) 870-9718

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1437550613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1905",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761011905",
            "telephone_number": "817-521-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 OAKBEND TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323925",
            "telephone_number": "817-521-3698",
            "fax_number": "817-346-7408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 9th Ave",
            "address_2": "Ste 405",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761043903",
            "country_code": "US",
            "telephone_number": "817-870-9718",
            "fax_number": "817-335-5608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RALPH A BROOKS, M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "817-521-3698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "H3656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drbrooks@genmedtx.com",
            "affiliation": "N",
            "address_1": "6116 Oakbend Trl",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761323925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.