Charles Brooks, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

016587 Issued in TN

Practice address

412 Devonia St
Harriman, TN 37748-2009

Phone

(865) 882-1323

NPI assigned

Sep 25, 2006

Last updated

Nov 24, 2015By the provider in NPPES

Sex

Male

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Emergency Coverage, LLC

  dba Emergency Coverage Corporation of TeamHealth

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  Emergency Medicine

  NPD (past)
• University Health System Inc

  dba University Thoracic Surgeons

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Knoxville, TN
  • NPI 1306609748
  NPD (past)
• University Health System, Inc

  dba University Internal Medicine

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1811096712
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1598865958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CADILLAC DRIVE",
            "address_2": "SUITE 150",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275355",
            "telephone_number": "615-690-1941",
            "fax_number": "615-690-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 DEVONIA ST",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377482009",
            "telephone_number": "865-882-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "016587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3842503",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TENNESSEE",
            "identifier": "3094186",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00255506",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Tennessee, Inc. (FMC Dialysis Services Roane County)
• William J Black, MD
• Dawn E Blaylock, PHARM.D.
• Harry G. Boye, Jr., M.D.
• Barbara Lynn Brauch, NP
• Christie C Brookshire, PHARM D.
• Robin Brown, LPN
• Thomas A Browning, M.D.
• Monica Kay Burgess, PHARMD
• Whitney Capshaw, BSN,RN

• Emergency Medicine Physician in Harriman, TN
• Providers in Harriman, TN by specialty
• Emergency Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.