NPIMap

Individual provider Active NPI

John Howard Brooks, MD

  • Cardiovascular Disease Physician
  • Raeford, NC
National Provider Identifier
1790984458
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2007-01547 Issued in NC
Practice address
6322 Fayetteville Rd
Suite B
Raeford, NC 28376-7979
Phone
(910) 878-6700
Fax
(910) 417-4120
NPI assigned
Jul 13, 2007
Last updated
Jun 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2007-01547 NC Primary

Addresses

Primary practice location

6322 Fayetteville Rd
Suite B
Raeford, NC 28376-7979

Mailing address

6322 Fayetteville Rd Ste B
Raeford, NC 28376-7979

Other identifiers 6

IdentifierTypeStateIssuer
5909948MedicaidNC
P00963701OtherNCRAILROAD MEDICARE
150G7OtherBC/BS NC PROVIDER #
FH2967615OtherFIRSTCAROLINACARE PROVIDER #
P00665198OtherRAILROAD MEDICARE PROV#
N01541OtherSCSC MEDICAID PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080923000580 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3678640224 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Brody School of Medicine at East Carolina University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-5 LLCGroup PAC ID 4284881012, 31 clinicians

Practice addresses (Care Compare)

2936 N Elm St
Suite 102
Lumberton, NC 28358-2981
Phone (910) 671-6619

6322 Fayetteville Rd
Suite B
Raeford, NC 28376-7979
Phone (910) 878-5100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.95 of 100Reported as group
Quality
65.05
Promoting interoperability
78
Improvement activities
40
Cost
87.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007-01547NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scotland Memorial Hospital Inc CurrentSince Feb 15, 2019 Accepting new patients
Southeastern Regional Physician Services CurrentSince Jun 2, 2025 Accepting new patients
Southeastern Regional Physician Services CurrentSince Jun 2, 2025 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Feb 15, 2019 Accepting new patients
MCPC-5, LLC Cardiovascular Disease CurrentSince Aug 17, 2016 Accepting new patients
MCPC-5, LLC Cardiovascular Disease Current Accepting new patients
MCPC-5, LLC Cardiovascular Disease CurrentSince Aug 17, 2016 Accepting new patients
Pinehurst Medical Clinic, Inc. Cardiovascular Disease Past Accepting new patients
Healthkeeperz, Inc PastSince Dec 31, 2012 Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients

Locations

108 Endo Ln
Ste 1
Hamlet, NC 28345
Phone (910) 205-8909

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

705B Lauchwood Dr
Laurinburg, NC 28352
Phone (910) 266-0111

2936 N Elm St
#102
Lumberton, NC 28358
Phone (910) 671-6619

395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434

815 Oakridge Blvd
Lumberton, NC 28358
Phone (910) 738-7166

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

6322 Fayetteville Rd
Ste B
Raeford, NC 28376
Phone (910) 878-6700

106 Physicians Park Dr
Rockingham, NC 28379
Phone (910) 417-4105

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Healthkeeperz, Inc.Fayetteville, NC, CCN 341541 Hospice 5% Or Greater Direct Ownership Interest Dec 31, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1790984458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6322 FAYETTEVILLE RD STE B",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283767979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6322 FAYETTEVILLE RD",
            "address_2": "SUITE B",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283767979",
            "telephone_number": "910-878-6700",
            "fax_number": "910-417-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JOHN",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2007-01547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5909948",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00963701",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NC PROVIDER #",
            "identifier": "150G7",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCAROLINACARE PROVIDER #",
            "identifier": "FH2967615",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROV#",
            "identifier": "P00665198",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAID PROVIDER #",
            "identifier": "N01541",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raeford, NC

Sources for this page

Verify at the official NPI Registry.