Ralph Anthony Brooks, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

H3656 Issued in TX

Practice address

6116 Oakbend TRL
Fort Worth, TX 76132-3925

Phone

(817) 521-2369

Fax

(817) 346-7408

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ralph.brooks@552014932017156.direct.elationemr.com

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.

• Physician Services of Jacksboro PA

  • Internal Medicine Physician
  • Jacksboro, TX
  • NPI 1457657371
  Medicare reassignment NPD
• V Care America Inc

  • Family Medicine Physician
  • Irving, TX
  • NPI 1518764232
  Medicare reassignment NPD
• Eye Specialists and Laser Center of Texas

  • Ophthalmology Physician
  • Irving, TX
  • NPI 1003091174
  NPD (past)
• Eye Specialists and Laser Center of Texas

  • Ophthalmology Physician
  • Fort Worth, TX
  • NPI 1205016466
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1467565762",
    "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": "817-521-2369",
            "fax_number": "817-346-7408"
        },
        {
            "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": "817-521-2369",
            "fax_number": "817-346-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "RALPH",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "H3656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "2313807",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "H3656",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Adam Brooks, DO
• Lloyd W Brooks, DO
• Meredith R Brooks, M.D.
• Michael E Brooks, MD
• Olivia Brooks, SLP
• Ross Douglas Brooks, LCDC
• Tevon Carlos Brooks, DO
• Walter Wayne Brooks, PTA
• Brothers Premier Courier Service LLC
• Brothers Premier Courier Service LLC

• Dermatology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dermatology Physician in Texas

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.