Active NPI
Dustin Arnold Brooks, MSPO, LPO, CPO
- Prosthetist
- Orlando, FL
National Provider Identifier
1558071944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- POR247
- Practice address
- 7345 W Sand Lake Rd Ste 220
Orlando, FL 32819-5280 - Phone
- (321) 247-5151
- Fax
- (321) 666-7643
- NPI assigned
- Nov 28, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | POR247 | FL | |
| Prosthetist | 224P00000X | POR247 | FL | Primary |
Addresses
Primary practice location
7345 W Sand Lake Rd Ste 220
Orlando, FL 32819-5280
Mailing address
7345 W Sand Lake Rd Ste 220
Orlando, FL 32819-5280
Phone (321) 247-5151
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POR247 | FL | MD | Prosthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimum Prosthetics & Orthotics | Prosthetist | Current | Accepting new patients |
Locations
7345 W Sand Lake Rd
Ste 220
Orlando, FL 32819
Phone (321) 247-5151
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1558071944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7345 W SAND LAKE RD STE 220",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328195280",
"telephone_number": "321-247-5151",
"fax_number": "321-666-7643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7345 W SAND LAKE RD STE 220",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328195280",
"telephone_number": "321-247-5151",
"fax_number": "321-666-7643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "DUSTIN",
"middle_name": "ARNOLD",
"name_prefix": "Mr.",
"credential": "MSPO, LPO, CPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-28",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "FL",
"license": "POR247",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "FL",
"license": "POR247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.