Individual provider Active NPI

Brooke L Parks, PA-C

  • Physician Assistant
  • Owings Mills, MD
National Provider Identifier
1780010892
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0005242 Issued in MD
Practice address
23 Crossroads Dr Ste 400
Owings Mills, MD 21117-5490
Phone
(410) 356-2626
Fax
(410) 356-8945
NPI assigned
Sep 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0005242 MD Primary

Addresses

Primary practice location

23 Crossroads Dr Ste 400
Owings Mills, MD 21117-5490

Mailing address

23 Crossroads Dr Ste 400
Owings Mills, MD 21117-5490
Phone (410) 356-2626

Other names 1

  • Brook L. Richardson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140127000222 MD Practitioner - Physician Assistant 8921237710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carroll Health Group LLCGroup PAC ID 3870627029, 68 clinicians

Practice addresses (Care Compare)

1380 Progress Way
Suite 102
Eldersburg, MD 21784-6498
Phone (410) 795-0257

193 Stoner Ave
Suite 220
Westminster, MD 21157-6881
Phone (410) 876-3380

Merit-based Incentive Payment System (MIPS)

Final score
83.16 of 100Reported as group
Quality
75.05
Promoting interoperability
100
Improvement activities
40
Cost
68.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0005242MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll Health Group, LLC CurrentSince Nov 1, 2013 Accepting new patients
Carroll Health Group, LLC PastSince Apr 27, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

193 Stoner Ave
Ste 220
Westminster, MD 21157
Phone (410) 871-2204

826 Washington Rd
Ste 120
Westminster, MD 21157
Phone (410) 848-2444

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

Interoperability endpoints

  • Direct secure messaging: brooke.parks@direct.davitaphysiciansolutions.com

Organizations & group practices 3

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": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1780010892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CROSSROADS DR STE 400",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175490",
            "telephone_number": "410-356-2626",
            "fax_number": "410-356-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CROSSROADS DR STE 400",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175490",
            "telephone_number": "410-356-2626",
            "fax_number": "410-356-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "BROOKE",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-20",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0005242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOK",
            "last_name": "RICHARDSON",
            "middle_name": "L.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.