Active NPI
Brooks & Pottinger, M.D., P.a.
- Specialist
- Deland, FL
National Provider Identifier
1457363160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0026840
- Legal business name
- BROOKS & POTTINGER, M.D., P.A.
- Practice address
- 850 W Plymouth Avenue
Deland, FL 32720 - Phone
- (386) 736-6110
- Fax
- (386) 736-7998
- NPI assigned
- Aug 12, 2006
- Last updated
- Sep 2, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey B Brooks, M.D.
- Title
- President
- Phone
- (386) 736-6110
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0026840 | FL | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | ME103639 | FL | |
| Advanced Practice Midwife | 367A00000X | 1053372 | FL |
Addresses
Primary practice location
850 W Plymouth Avenue
Deland, FL 32720
Mailing address
850 W Plymouth Avenue
Deland, FL 32720
Phone (386) 736-6110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 253359600 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314921600000",
"number": "1457363160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 W PLYMOUTH AVENUE",
"city": "DELAND",
"state": "FL",
"postal_code": "32720",
"telephone_number": "386-736-6110",
"fax_number": "386-736-7998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 W PLYMOUTH AVENUE",
"city": "DELAND",
"state": "FL",
"postal_code": "32720",
"telephone_number": "386-736-6110",
"fax_number": "386-736-7998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKS & POTTINGER, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-12",
"last_updated": "2011-09-02",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "386-736-6110",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME0026840",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME103639",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "1053372",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "253359600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Deland, FL
- Beverly Carter Brim, LMHC
- Helen Michaelle Brizek, LMHC
- Kathleen Kelley Broeker, MSW
- Brookdale Senior Living Communities, Inc. (Sterling House of Deland)
- Sabrina K Brookins, PT, DPT
- Jeffrey B Brooks, M.D.
- Jennifer Lee Brooks, BS, MS
- Delaney Brosen
- Sarah Elizabeth Brow Corrigan, LMFT
- Carla M Brown-Cajuste
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.