Individual provider Active NPI

Eric Brooks, M.D. MHS

  • Radiation Oncology Physician
  • Clearwater, FL
National Provider Identifier
1447645577
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME145403 Issued in FL
Practice address
3155 N. McMullen Booth Rd
Clearwater, FL 33761-2008
Phone
(727) 669-9018
Fax
(727) 669-4308
NPI assigned
Apr 6, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME145403 FL Primary

Addresses

Primary practice location

3155 N. McMullen Booth Rd
Clearwater, FL 33761-2008

Mailing address

3155 N. McMullen Booth Rd
Clearwater, FL 33761-2008
Phone (727) 669-9018

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eric.brooks@ufl.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200812000787 FL Practitioner - Radiation Oncology 4880010578 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Yale University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael Dattoli PLCGroup PAC ID 6406904549, 2 clinicians
Premier Radiation Oncology Associates LLCGroup PAC ID 0143659664, 3 clinicians

Practice addresses (Care Compare)

2803 Fruitville Rd
Sarasota, FL 34237-5344
Phone (941) 957-1221

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 462-7220

3155 N McMullen Booth Rd
Clearwater, FL 33761-2008
Phone (727) 669-9018

Hospital & facility affiliations

  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • Mease Dunedin Hospital Hospital, Dunedin, FL, CCN 100043
  • Mease Countryside Hospital Hospital, Safety Harbor, FL, CCN 100265

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME145403FLMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Aug 5, 2020 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Aug 5, 2020 Accepting new patients
Premier Radiation Oncology Associates LLC Radiation Oncology CurrentSince May 1, 2024 Accepting new patients

Locations

3155 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 669-9018

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1447645577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 N. MCMULLEN BOOTH RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612008",
            "telephone_number": "727-669-9018",
            "fax_number": "727-669-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 N. MCMULLEN BOOTH RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612008",
            "telephone_number": "727-669-9018",
            "fax_number": "727-669-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "M.D. MHS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-06",
        "last_updated": "2024-08-21",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME145403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eric.brooks@ufl.edu",
            "affiliation": "N",
            "endpointDescription": "secure encrypted email",
            "address_1": "2015 Jefferson St",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322063531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.