Individual provider Active NPI

Jared Lawrence Brooks, M.D.

  • Surgery Physician
  • Norfolk, VA
National Provider Identifier
1467498295
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101232343 Issued in VA
Practice address
6251 E Virginia Beach Blvd Ste 300
Norfolk, VA 23502-2824
Phone
(757) 261-5000
Fax
(757) 962-5610
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2015-02093 NC
Surgery Physician 208600000X 0101232343 VA Primary

Addresses

Primary practice location

6251 E Virginia Beach Blvd Ste 300
Norfolk, VA 23502-2824

Mailing address

6251 E Virginia Beach Blvd Ste 300
Norfolk, VA 23502-2824
Phone (757) 261-5000

Other practice location 1

880 Kempsville Rd
Suite 1000
Norfolk, VA 23502-3931
Phone (757) 261-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20070105000039 VA Practitioner - General Surgery 5597765115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
George Washington University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

6333 Ctr Dr
BLDG 16
Norfolk, VA 23502-4126
Phone (757) 252-9500

Hospital & facility affiliations

  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)20
Hernia repair (minimally invasive)22
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015-02093NCMDSurgery Physician
0101232343VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Jun 1, 2007 Accepting new patients
Vascular & Transplant Specialists PC Past Accepting new patients

Locations

6333 Center Dr
Bldg 16
Norfolk, VA 23502
Phone (757) 252-9500

6160 Kempsville Cir
Ste 101B
Norfolk, VA 23502
Phone (757) 461-2098

880 Kempsville Rd
Ste 1000
Norfolk, VA 23502
Phone (757) 261-5000

6251 E Virginia Beach Blvd
Ste 300
Norfolk, VA 23502
Phone (757) 261-5000

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Interoperability endpoints

  • Direct secure messaging: jbrooks15373@direct.sentara.net

Organizations & group practices 2

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 6

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1467498295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6251 E VIRGINIA BEACH BLVD STE 300",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022824",
            "telephone_number": "757-261-5000",
            "fax_number": "757-962-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6251 E VIRGINIA BEACH BLVD STE 300",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022824",
            "telephone_number": "757-261-5000",
            "fax_number": "757-962-5610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 Kempsville Rd",
            "address_2": "Suite 1000",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235023931",
            "country_code": "US",
            "telephone_number": "757-261-5000",
            "fax_number": "757-962-5610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JARED",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2015-02093",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101232343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.