Individual provider Active NPI

Brooks Taber, M.D.

  • Diagnostic Radiology Physician
  • Raleigh, NC
National Provider Identifier
1679789002
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2007-00613 Issued in NC
Practice address
3200 Blue Ridge Rd Ste 100
Raleigh, NC 27612-8087
Phone
(919) 781-1437
Fax
(919) 787-4870
NPI assigned
May 15, 2007
Last updated
Apr 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2007-00613 NC Primary
Diagnostic Radiology Physician 2085R0202X 0101270568 VA

Addresses

Primary practice location

3200 Blue Ridge Rd Ste 100
Raleigh, NC 27612-8087

Mailing address

5220 Greens Dairy Rd
Raleigh, NC 27616-4612
Phone (919) 781-1437

Other practice location 1

3022 Croasdaile Dr
Suite 101
Durham, NC 27705-2507
Phone (919) 383-7874 ext. 270

Other practice location 2

1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 200-5047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, HI, SC, VA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20170914001032 NC Practitioner - Diagnostic Radiology 7113290115 Reassigns benefits to 4 organizations
I20201102001130 HI Practitioner - Diagnostic Radiology 7113290115 Reassigns benefits to 2 organizations
I20201102001135 SC Practitioner - Diagnostic Radiology 7113290115 Reassigns benefits to 1 organization
I20201111001883 VA Practitioner - Diagnostic Radiology 7113290115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical University of South Carolina College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Radiology Wakemed Imaging, LLCGroup PAC ID 8325453459, 57 clinicians
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians
Raleigh Radiology Associates IncGroup PAC ID 6800874611, 58 clinicians
Raleigh Radiology LLCGroup PAC ID 6305739707, 61 clinicians

Practice addresses (Care Compare)

11640 Northpark Dr
Suite 110
Wake Forest, NC 27587-5741
Phone (919) 781-1437

1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 947-3033

2010 Mill Gate LN
Cary, NC 27519-7194
Phone (434) 200-5047

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-7000

3200 Blue Ridge Rd
Suite 100
Raleigh, NC 27612-8087
Phone (919) 781-1437

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.16 of 100Reported as apm
Quality
83.58
Promoting interoperability
94
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.55 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2007-00613NCMDDiagnostic Radiology Physician
0101270568VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centra Medical Group, LLC CurrentSince Jun 15, 2023 Accepting new patients
Raleigh Radiology Associates, Inc. Diagnostic Radiology CurrentSince Aug 27, 2017 Accepting new patients
Raleigh Radiology Wakemed Imaging, LLC Diagnostic Radiology CurrentSince Feb 24, 2021 Accepting new patients
Raleigh Radiology, LLC Diagnostic Radiology CurrentSince Aug 14, 2017 Accepting new patients

Locations

1585 Kapiolani Blvd
Ste 920
Honolulu, HI 96814
Phone (972) 493-3846

150 Parkway Office Ct
Ste 100
Cary, NC 27518

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

11618 Clayton Blvd
Ste 102
Clayton, NC 27520

1121 Situs Ct
Ste 170
Raleigh, NC 27606
Phone (919) 834-2767

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

3200 Blue Ridge Rd
Ste 100
Raleigh, NC 27612
Phone (919) 256-3576

5220 Greens Dairy Rd
Raleigh, NC 27616
Phone (540) 493-4581

11640 Northpark Dr
Ste 110
Wake Forest, NC 27587

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

800 Oak St
Farmville, VA 23901
Phone (434) 315-2530

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

Interoperability endpoints

  • Direct secure messaging: brooks.taber@direct.raleighrad.nchie.net

Organizations & group practices 4

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1679789002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 GREENS DAIRY RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276164612",
            "telephone_number": "919-781-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BLUE RIDGE RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128087",
            "telephone_number": "919-781-1437",
            "fax_number": "919-787-4870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3022 Croasdaile Dr",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277052507",
            "country_code": "US",
            "telephone_number": "919-383-7874 x270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 Tate Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245011109",
            "country_code": "US",
            "telephone_number": "434-200-5047",
            "fax_number": "434-200-6490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABER",
        "first_name": "BROOKS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2007-00613",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101270568",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.