Active NPI
Duane Brooks
- Athletic Trainer
- Metairie, LA
National Provider Identifier
1508280314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 200207
- Practice address
- 5800 Airline Dr
Metairie, LA 70003-3876 - Phone
- (504) 731-1713
- Fax
- (504) 731-1805
- NPI assigned
- Feb 13, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 200207 | LA | Primary |
Addresses
Primary practice location
5800 Airline Dr
Metairie, LA 70003-3876
Mailing address
5800 Airline Dr
Metairie, LA 70003-3876
Phone (504) 731-1713
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392249600000",
"number": "1508280314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 AIRLINE DR",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700033876",
"telephone_number": "504-731-1713",
"fax_number": "504-731-1805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 AIRLINE DR",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700033876",
"telephone_number": "504-731-1713",
"fax_number": "504-731-1805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "DUANE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-13",
"last_updated": "2014-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "LA",
"license": "200207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.