Individual provider Active NPI

Daren Brooks, D.O.

  • Dermatology Physician
  • St George, UT
National Provider Identifier
1750767638
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
006779 Issued in AZ
Practice address
230 N 1680 E Ste N1
St George, UT 84790-2596
Phone
(435) 680-3376
Fax
(435) 210-6347
NPI assigned
Aug 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 3485941204 UT
Dermatology Physician 207N00000X 006779 AZ Primary

Addresses

Primary practice location

230 N 1680 E Ste N1
St George, UT 84790-2596

Mailing address

230 N 1680 E Ste N1
St George, UT 84790-2596
Phone (435) 680-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20250501001883 UT Practitioner - Dermatology 6608181128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridge Clinic, PLLCGroup PAC ID 4981136967, 2 clinicians

Practice addresses (Care Compare)

230 N 1680
Suite N1
St George, UT 84790-2596
Phone (435) 680-3376

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions17
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge Clinic, PLLC Dermatology CurrentSince Sep 30, 2024 Accepting new patients

Locations

230 N 1680 E
Ste N1
St George, UT 84790
Phone (435) 313-7237

Interoperability endpoints

  • Direct secure messaging: daren.brooks@486851367337988.direct.elationemr.com
  • Direct secure messaging: daren.brooks.1@16501.direct.athenahealth.com

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": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1750767638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N 1680 E STE N1",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902596",
            "telephone_number": "435-680-3376",
            "fax_number": "435-210-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N 1680 E STE N1",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902596",
            "telephone_number": "435-680-3376",
            "fax_number": "435-210-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "DAREN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-03",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "3485941204",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "006779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.