Patrick Ryan Brooks, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

9510527 Issued in FL

Practice address

5 Old Courthouse Way Unit B
Crawfordville, FL 32327-8064

Phone

(727) 422-3483

NPI assigned

Jul 7, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1497488407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 OLD COURTHOUSE WAY UNIT B",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323278064",
            "telephone_number": "727-422-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 OLD COURTHOUSE WAY UNIT B",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323278064",
            "telephone_number": "727-422-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "PATRICK",
        "middle_name": "RYAN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9510527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Me",
            "affiliation": "N",
            "endpointDescription": "Work",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5 Old Courthouse Way Unit B",
            "city": "Crawfordville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323278064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard Bramblett
• Sherry Marie Bramblett, ARNP
• Dynitia Brimm
• Linda Marie Broga, L.M.T
• Christie Brooks, APRN
• Aun-Drey Brown
• Vickie Diane Brown, CRT
• Patrick Allen Burke I
• Caitlin Mary Burns
• Kathleen Gail Butler, D.C.

• All providers in Crawfordville, FL
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.