Active NPI
John Craven Brooks, M.D.
- Internal Medicine Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- F6479
- Practice address
- 3417 Gaston Ave.
Suite 700
Dallas, TX 75246 - Phone
- (214) 823-4800
- Fax
- (214) 823-4801
- NPI assigned
- Aug 9, 2006
- Last updated
- Jul 20, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | F6479 | TX | Primary |
Addresses
Primary practice location
3417 Gaston Ave.
Suite 700
Dallas, TX 75246
Mailing address
3417 Gaston Ave.
Suite 700
Dallas, TX 75246
Phone (214) 823-4800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87X760 | Other | TX | BCBS |
| 097343001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Texas Medical Branch at Galveston, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3417 Gaston Ave
Suite 700
Dallas, TX 75246-2031
Phone (241) 823-4800
3900 Junius St
Suite 415
Dallas, TX 75246-1617
Phone (972) 993-8300
440 W
635 Suite 405
Irving, TX 75063
Phone (972) 993-5080
4708 Dexter Dr
Suite 400
Plano, TX 75093-5288
Phone (972) 993-5050
8222 Douglas Ave
Suite 600
Dallas, TX 75225-5937
Phone (972) 993-5040
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abksw Preferred Health Partners, PLLC | Internal Medicine | Current | Accepting new patients |
| Healthtexas Provider Network-Orthopedic Services, LLP | Past | Accepting new patients |
Locations
3417 Gaston Ave
Ste 700
Dallas, TX 75246
Phone (214) 823-4800
440 W Lyndon B Johnson Fwy
Ste 405
Irving, TX 75063
Phone (214) 823-4800
Interoperability endpoints
- john.brooks@ntphp.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1184009755
-
- Orthopaedic Surgery Physician
- Dallas, TX
- NPI 1144226218
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
-
dba Baylor Institute for Rehabilitation
- Rehabilitation Hospital
- Dallas, TX
- NPI 1538465901
Inpatient rehabilitation facility
-
- Home Health Agency
- Plano, TX
- NPI 1487605598
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1396779948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1609886530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3417 GASTON AVE.",
"address_2": "SUITE 700",
"city": "DALLAS",
"state": "TX",
"postal_code": "75246",
"telephone_number": "214-823-4800",
"fax_number": "214-823-4801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3417 GASTON AVE.",
"address_2": "SUITE 700",
"city": "DALLAS",
"state": "TX",
"postal_code": "75246",
"telephone_number": "214-823-4800",
"fax_number": "214-823-4801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "JOHN",
"middle_name": "CRAVEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "F6479",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "87X760",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "097343001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.