Active NPI
Thomas J Brooks, MD
- Obstetrics & Gynecology Physician
- Chattanooga, TN
National Provider Identifier
1619960143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD13304
- Practice address
- 3300 Wilcox Blvd
Chattanooga, TN 37411-1073 - Phone
- (423) 493-2100
- Fax
- (423) 493-2137
- NPI assigned
- Aug 30, 2005
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD13304 | TN | Primary |
Addresses
Primary practice location
3300 Wilcox Blvd
Chattanooga, TN 37411-1073
Mailing address
3300 Wilcox Blvd
Chattanooga, TN 37411-1073
Phone (423) 493-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3383904 | Medicaid | TN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD13304 | TN | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318377600000",
"number": "1619960143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 WILCOX BLVD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374111073",
"telephone_number": "423-493-2100",
"fax_number": "423-493-2110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 WILCOX BLVD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374111073",
"telephone_number": "423-493-2100",
"fax_number": "423-493-2137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "THOMAS",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2011-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "MD13304",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3383904",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.