Brooks Womens Center

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G71729 Issued in CA

Legal business name

BROOKS WOMENS CENTER

Practice address

10515 Balboa Blvd Ste 160
Granada Hills, CA 91344-6368

Phone

(818) 831-6611

NPI assigned

Aug 13, 2012

Last updated

Aug 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marlon Brooks, MDNPI 1346278587

Title

Owner

Phone

(818) 831-6611

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marlon Brooks, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Granada Hills, CA
  • NPI 1346278587
  NPD (past) Authorized official

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1700133451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 BALBOA BLVD STE 160",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446368",
            "telephone_number": "818-831-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 BALBOA BLVD STE 160",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446368",
            "telephone_number": "818-831-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS WOMENS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "MARLON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-831-6611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G71729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0776338",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Ellen Briley, R.P.T.
• Lisa Brinton, PHARM.D.
• Broadwater Casitas Care Center, LLC (Casitas Care Center)
• Broadwater Rinaldi Care Center, LLC (Rinaldi Convalescent Hospital)
• Brock Lorenz DMD Ms Inc
• Marlon Brooks, MD
• Brougham Ambulance
• Shannon Broussalian, M.S., CCC-SLP
• Janet Broutian, PHARMD
• Joanne Broutt

• Obstetrics & Gynecology Physician in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.