Active NPI
Donald F. Brooks, M.D.
- Cardiovascular Disease Physician
- Watervliet, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 4301060799
- Practice address
- 450 Medical Park Dr
Suite # 400
Watervliet, MI 49098-8531 - Phone
- (269) 463-3044
- Fax
- (269) 463-8170
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4301067099 | MI | |
| Cardiovascular Disease Physician | 207RC0000X | 4301060799 | MI | Primary |
Addresses
Primary practice location
450 Medical Park Dr
Suite # 400
Watervliet, MI 49098-8531
Mailing address
450 Medical Park Dr
Suite # 400
Watervliet, MI 49098-8531
Phone (269) 463-3044
Other practice location 1
1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (269) 428-5007
Other practice location 2
400 Medical Park Dr
Watervliet, MI 49098-9225
Phone (269) 463-3044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103069741 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301067099 | MI | MD | Specialist |
| 4301060799 | MI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Community Hospital Watervliet | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Lakeland Community Hospital Watervliet | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Lakeland Community Hospital Watervliet | Current | Accepting new patients | |
| Red Arrow Medical Clinic PC | Past | Accepting new patients |
Locations
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
450 Medical Park Dr
Ste 200
Watervliet, MI 49098
Phone (269) 463-3733
400 Medical Park Dr
Watervliet, MI 49098
Phone (269) 463-3111
Interoperability endpoints
- dbrooks1268687@epic00.corewelldirect.org
- dbrooks7574@lakeland.midirect.net
- https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/
Organizations & group practices 6
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.
-
- Rural Health Clinic/Center
- Hartford, MI
- NPI 1023114741
-
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
-
- Rural Health Clinic/Center
- Dowagiac, MI
- NPI 1184467607
-
- Family Medicine Physician
- Watervliet, MI
- NPI 1568644052
-
- Internal Medicine Physician
- Bridgman, MI
- NPI 1568232247
-
- Internal Medicine Physician
- Coloma, MI
- NPI 1881837102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718755200000",
"number": "1790733293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 MEDICAL PARK DR",
"address_2": "SUITE # 400",
"city": "WATERVLIET",
"state": "MI",
"postal_code": "490988531",
"telephone_number": "269-463-3044",
"fax_number": "269-463-8170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 MEDICAL PARK DR",
"address_2": "SUITE # 400",
"city": "WATERVLIET",
"state": "MI",
"postal_code": "490988531",
"telephone_number": "269-463-3044",
"fax_number": "269-463-8170"
}
],
"practiceLocations": [
{
"address_1": "1234 Napier Ave",
"address_purpose": "LOCATION",
"city": "Saint Joseph",
"state": "MI",
"postal_code": "490852112",
"country_code": "US",
"telephone_number": "269-428-5007",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 Medical Park Dr",
"address_purpose": "LOCATION",
"city": "Watervliet",
"state": "MI",
"postal_code": "490989225",
"country_code": "US",
"telephone_number": "269-463-3044",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROOKS",
"first_name": "DONALD",
"middle_name": "F.",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "4301067099",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "4301060799",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103069741",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Watervliet, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.