Organization Active NPI

Herbert E Brooks MD PA

  • Legal Medicine
  • Bonifay, FL
National Provider Identifier
1598091100
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
ME11075 Issued in FL
Legal business name
HERBERT E BROOKS MD PA
Practice address
2126 Highway 173
Bonifay, FL 32425-5704
Phone
(850) 547-4556
Fax
(850) 547-4511
NPI assigned
Nov 2, 2009
Last updated
Jan 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Authorized official

Name
Herbert Edwin Brooks, MD
Title
Owner
Phone
(850) 547-4793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X ME11075 FL Primary

Addresses

Primary practice location

2126 Highway 173
Bonifay, FL 32425-5704

Mailing address

PO Box 699
Bonifay, FL 32425-0699
Phone (850) 547-4556

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1598091100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324250699",
            "telephone_number": "850-547-4556",
            "fax_number": "850-547-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 HIGHWAY 173",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324255704",
            "telephone_number": "850-547-4556",
            "fax_number": "850-547-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT E BROOKS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-547-4793",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME11075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonifay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.