Theodore Carlton Brooks, M.D.

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

194723 Issued in NY

Practice address

341 Beaver St
Sewickley, PA 15143-1438

Phone

(304) 639-6753

NPI assigned

Oct 8, 2010

Last updated

Nov 6, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MI

  Medicare reassignment NPD
• Linden Pathology Associates Group, PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Brooklyn, NY
  • NPI 1639459159
  NPD (past)
• Linden Pathology Associates LLP

  • Anatomic Pathology & Clinical Pathology Physician
  • Brooklyn, NY
  • NPI 1124104922
  NPD (past)

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1801106836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 BEAVER ST",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431438",
            "telephone_number": "304-639-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 BEAVER ST",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431438",
            "telephone_number": "304-639-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "THEODORE",
        "middle_name": "CARLTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-08",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "WI",
            "license": "39871",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NY",
            "license": "194723",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "194723-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Colleen Little Branas, PA-C
• Ashley Bess Braswell, PT, DPT
• Courtney Brennan
• John Brookman, LCSW
• Daniel Herbert Brooks, M.D.
• John Dominic Brungo, M.D.
• Diane Buchan
• Richard D Burns, PA-C
• Heather Lynn Burton, MPA, PA
• Victoria A Butterworth, LPC

• Anatomic Pathology Physician in Sewickley, PA
• Providers in Sewickley, PA by specialty
• Anatomic Pathology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.