Jennifer C. Brooks, MD PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

H7394 Issued in TX

Legal business name

JENNIFER C. BROOKS, MD PLLC

Doing business as

JENNIFER C. BROOKS, MD PLLC

Practice address

909 9TH Ave Ste 101
Fort Worth, TX 76104-3916

Phone

(817) 334-0562

Fax

(817) 335-4328

NPI assigned

Apr 1, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer C Brooks, MDNPI 1578528451

Title

Doctor

Phone

(817) 334-0562

Specialties & licenses 1

Addresses

Other names 1

• JENNIFER C. BROOKS, MD PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer C Brooks, M.D.

  • Specialist
  • Fort Worth, TX
  • NPI 1578528451
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1750624417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 9TH AVE STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043916",
            "telephone_number": "817-334-0562",
            "fax_number": "817-335-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 9TH AVE STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043916",
            "telephone_number": "817-334-0562",
            "fax_number": "817-335-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER C. BROOKS, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-01",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "817-334-0562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H7394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JENNIFER C. BROOKS, MD PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Nicole Jenkins, PT,DPT
• Madison E Jenkins
• Sherrall Lecella Jenkins, OD
• Wanda B. Jenkins, LCSW, CCM
• Wendy Ann Jenks, CRNA
• Adam Rutledge Jennings, D.O.
• Chantel Jennings
• Katherine A Jennings, LPC
• Marcia L Jennings, S.L.P.
• Melissa Jennings, MA

• Specialist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.