Active NPI
Sheila J Brooks, DPM
- Foot & Ankle Surgery Podiatrist
- Bluefield, WV
National Provider Identifier
1467442871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 230
- Practice address
- 324 North St Ste 1
Bluefield, WV 24701-4038 - Phone
- (304) 325-7079
- Fax
- (304) 327-0614
- NPI assigned
- Oct 26, 2005
- Reactivated
- Nov 8, 2005
- Last updated
- Apr 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 230 | WV | Primary |
Addresses
Primary practice location
324 North St Ste 1
Bluefield, WV 24701-4038
Mailing address
PO Box 690
Bluefield, WV 24701-0690
Phone (304) 325-7079
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810011431 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230 | WV | MD | Registered Dietitian |
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.
-
- Podiatrist
- Bluefield, WV
- NPI 1750559829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239753600000",
"number": "1467442871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 690",
"city": "BLUEFIELD",
"state": "WV",
"postal_code": "247010690",
"telephone_number": "304-325-7079",
"fax_number": "304-327-0614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 NORTH ST STE 1",
"city": "BLUEFIELD",
"state": "WV",
"postal_code": "247014038",
"telephone_number": "304-325-7079",
"fax_number": "304-327-0614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "SHEILA",
"middle_name": "J",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-26",
"last_updated": "2009-04-15",
"deactivation_date": "2005-10-26",
"reactivation_date": "2005-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WV",
"license": "230",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810011431",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bluefield, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.