Individual provider Active NPI

Rebecca P. Brooks, MA CCCA

  • Audiologist
  • Tuscaloosa, AL
National Provider Identifier
1720125784
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
591A Issued in AL
Practice address
700 University Blvd E RM 145
Tuscaloosa, AL 35487-0001
Phone
(205) 348-7131
Fax
(205) 348-1845
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 591A AL Primary

Addresses

Primary practice location

700 University Blvd E RM 145
Tuscaloosa, AL 35487-0001

Mailing address

700 University Blvd E RM 145
Tuscaloosa, AL 35487-0001
Phone (205) 348-7131

Other identifiers 1

IdentifierTypeStateIssuer
009100860MedicaidAL

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
591AALMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Trustees of the University of Alabama Audiologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1720125784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 UNIVERSITY BLVD E RM 145",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354870001",
            "telephone_number": "205-348-7131",
            "fax_number": "205-348-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 UNIVERSITY BLVD E RM 145",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354870001",
            "telephone_number": "205-348-7131",
            "fax_number": "205-348-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "REBECCA",
        "middle_name": "P.",
        "credential": "MA CCCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AL",
            "license": "591A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009100860",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.

Verify at the official NPI Registry.