Active NPI
Ronald Edward Brooks, C.P.O.
- Prosthetist
- Greenville, SC
National Provider Identifier
1730311267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 529 Mills Ave
Greenville, SC 29605-4218 - Phone
- (864) 282-5213
- Fax
- (864) 282-5214
- NPI assigned
- Aug 18, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | |||
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
529 Mills Ave
Greenville, SC 29605-4218
Mailing address
529 Mills Ave
Greenville, SC 29605-4218
Phone (864) 282-5213
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288828800000",
"number": "1730311267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 MILLS AVE",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054218",
"telephone_number": "864-282-5213",
"fax_number": "864-282-5214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 MILLS AVE",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054218",
"telephone_number": "864-282-5213",
"fax_number": "864-282-5214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "RONALD",
"middle_name": "EDWARD",
"credential": "C.P.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-18",
"last_updated": "2010-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.