Lagora A. Oliver Brooks, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101234783 Issued in VA

Practice address

2301 General Booth Blvd
Ste B
Virginia Beach, VA 23456-7755

Phone

(757) 963-5500

Fax

(757) 275-9907

NPI assigned

Sep 20, 2005

Last updated

Apr 11, 2014By the provider in NPPES

Sex

Female

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 1

Other names 1

• Lagora A. Oliver Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lbrooks19425@direct.sentara.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sentara Medical Group

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1265485270

  Pediatrics

  Medicare reassignment NPD
• Sentara Medical Group

  dba Sentara Pediatric Physicians

  • Pediatrics Physician
  • Virginia Beach, VA
  • NPI 1295957033
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397174400000",
    "number": "1548255144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 GENERAL BOOTH BLVD",
            "address_2": "STE B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234567755",
            "telephone_number": "757-963-5500",
            "fax_number": "757-275-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 GENERAL BOOTH BLVD",
            "address_2": "STE B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234567755",
            "telephone_number": "757-963-5500",
            "fax_number": "757-275-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "LAGORA",
        "middle_name": "A. OLIVER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2014-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101234783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010090865",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAGORA",
            "last_name": "OLIVER",
            "middle_name": "A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Colette Brooks, NP
• Erin Marie Brooks
• Infinity Alexandria Brooks, MA, CSAC-S, LPC-R
• Kevin Eugene Brooks, M.D. M.P.H.
• Krystal R Brooks
• Shakirrah Monet Brooks, RBT
• Stephen Russell Brooks, NAVY IDC
• Valerie Brooks
• Brookside Psychiatric Specialists PLLC
• Mackenzie Ellen Broom

• Pediatrics Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; 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.