Charles Michael Brooks, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD010917E Issued in PA

Practice address

3131 College Heights Blvd
Suite 1200
Allentown, PA 18104-4812

Phone

(610) 439-8551

Fax

(610) 439-1435

NPI assigned

Aug 22, 2005

Last updated

Sep 18, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Gastroenterology Associates LTD

  • Gastroenterology Physician
  • Allentown, PA
  • NPI 1518959360
  Medicare reassignment NPD
• Avicenna Physician Services Inc

  dba Avicenna Direct Care

  • Internal Medicine Physician
  • Allentown, PA
  • NPI 1801499850
  NPD (past)
• College Heights Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Allentown, PA
  • NPI 1780686808
  NPD (past)

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1750373155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 COLLEGE HEIGHTS BLVD",
            "address_2": "SUITE 1200",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044812",
            "telephone_number": "610-439-8551",
            "fax_number": "610-439-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 COLLEGE HEIGHTS BLVD",
            "address_2": "SUITE 1200",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044812",
            "telephone_number": "610-439-8551",
            "fax_number": "610-439-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "CHARLES",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD010917E",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD010917E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000639213-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Traci L Broidrick, CRNP
• Joan Bromley
• Rachel Bromley, CRNP
• Diane Louise Brong, LCSW
• Bobbi M Brooks, M.D.
• Danielle Christina Brooks, MS CCC-SLP
• Judith Brooks, CRNP
• Samantha Young Brooks, PA-C
• Emily Brophy, MD
• Julie A Brophy, MS CCC SLP L

• Gastroenterology Physician in Allentown, PA
• Providers in Allentown, PA by specialty
• Gastroenterology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.