Individual provider Active NPI

Brittany Brooks, M.D.

  • Family Medicine Physician
  • Jackson, MS
National Provider Identifier
1750641759
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E45U6U6 K Issued in DC
Practice address
805 E River PL
Jackson, MS 39202-3486
Phone
(601) 500-7660
NPI assigned
May 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25265 MS
Family Medicine Physician 207Q00000X E45U6U6 K DC Primary

Addresses

Primary practice location

805 E River PL
Jackson, MS 39202-3486

Mailing address

805 E River PL
Jackson, MS 39202-3486
Phone (601) 500-7660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20180612000461 MS Practitioner - Family Practice 8921397951 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E45U6U6 KDCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
My Brother's Keeper, Inc CurrentSince Feb 23, 2018 Accepting new patients
My Brother's Keeper, Inc CurrentSince Feb 23, 2018 Accepting new patients

Locations

805 E River Pl
Jackson, MS 39202
Phone (601) 364-2600

805 E River Pl
Ste M
Jackson, MS 39202
Phone (601) 500-7660

Interoperability endpoints

  • Direct secure messaging: brittany.brooks.p1@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: brittany.brooks@direct.elationemr.com
  • Direct secure messaging: brittany.brooks.p2@direct.alegiscare.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1750641759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E RIVER PL",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392023486",
            "telephone_number": "601-500-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E RIVER PL",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392023486",
            "telephone_number": "601-500-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "BRITTANY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "25265",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "E45U6U6 K",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.