Organization Active NPI

Christopher Brooks MD PA

  • Plastic Surgery Physician
  • Hollywood, FL
National Provider Identifier
1508159633
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME92569 Issued in FL
Legal business name
CHRISTOPHER BROOKS MD PA
Practice address
1150 N. 35 Ave
Suite 670
Hollywood, FL 33021
Phone
(954) 501-0505
Fax
(954) 756-7560
NPI assigned
May 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Authorized official

Name
Dr. Christopher J M Brooks, MDNPI 1184694952
Title
Director
Phone
(954) 501-0505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X ME92569 FL Primary

Addresses

Primary practice location

1150 N. 35 Ave
Suite 670
Hollywood, FL 33021

Mailing address

1150 N. 35 Ave
Suite 670
Hollywood, FL 33021
Phone (954) 501-0505

Other identifiers 1

IdentifierTypeStateIssuer
272091400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110706000477 FL Part B Supplier - Clinic/Group Practice 6002094430 Receives reassigned benefits from 1 practitioner
Practice locations: Hollywood, FL

National Provider Directory

National Provider Directory

Locations

10301 Hagen Ranch Rd
Ste 900
Boynton Beach, FL 33437
Phone (954) 501-0505

3800 Johnson St
Ste G
Hollywood, FL 33021
Phone (954) 324-4080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1508159633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N. 35 AVE",
            "address_2": "SUITE 670",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33021",
            "telephone_number": "954-501-0505",
            "fax_number": "954-756-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N. 35 AVE",
            "address_2": "SUITE 670",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33021",
            "telephone_number": "954-501-0505",
            "fax_number": "954-756-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER BROOKS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-23",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-501-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME92569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272091400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.