Galen Brooks, MD

Individual provider Active NPI Psychiatry Physician · Dundalk, MD

NPI 1790701266 · NPPES record last updated Oct 11, 2007

Key facts

NPI
1790701266
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
D0020408 (MD)
Practice address
7827 Wise Ave
Dundalk, MD 21222-3339
Phone
(410) 282-7222
Fax
(410) 282-0069
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0020408MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frank W. Gibson, Jr. P.a. Past
since May 1, 1995
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0020408 MD Yes

Addresses

Primary practice location

7827 Wise Ave
Dundalk, MD 21222-3339

Mailing address

7827 Wise Ave
Dundalk, MD 21222-3339
Phone (410) 282-7222

Other providers in Dundalk, MD

All providers in Dundalk, MD · Psychiatry Physician in Maryland

Sources for this page

Verify at the official NPI Registry.