Individual provider Active NPI

John Michael Brooks, MD

  • Family Medicine Physician
  • Prince Frederick, MD
National Provider Identifier
1861461923
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D39920 Issued in MD
Practice address
110 Hospital Dr
Suite 111
Prince Frederick, MD 20678
Phone
(410) 535-4488
Fax
(443) 771-8114
NPI assigned
Mar 14, 2006
Last updated
Jan 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D39920 MD Primary

Addresses

Primary practice location

110 Hospital Dr
Suite 111
Prince Frederick, MD 20678

Mailing address

110 Hospital Dr
Suite 111
Prince Frederick, MD 20678
Phone (410) 535-4488

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address j.brooksmd.p1@direct.calverthealth.nextgenshare.com Health Information Exchange (HIE) CalvertHealth Medical Group, LLC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110613000298 MD Practitioner - Family Practice 8921018169

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.48 of 100Reported as group
Quality
74.54
Promoting interoperability
99
Improvement activities
40
Cost
81.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D39920MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Calverthealth Medical Group, LLC CurrentSince Jun 29, 2015 Accepting new patients
Calverthealth Medical Group, LLC Family Medicine Current Accepting new patients
Calverthealth Medical Group, LLC Family Medicine CurrentSince Jun 29, 2015 Accepting new patients

Locations

8924 Chesapeake Ave
North Beach, MD 20714
Phone (410) 257-7279

110 Hospital Rd
Ste 111
Prnc Frederck, MD 20678
Phone (410) 535-4488

Interoperability endpoints

  • Direct secure messaging: john.brooks@directcalverthospital.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1861461923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL DR",
            "address_2": "SUITE 111",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "20678",
            "telephone_number": "410-535-4488",
            "fax_number": "443-771-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL DR",
            "address_2": "SUITE 111",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "20678",
            "telephone_number": "410-535-4488",
            "fax_number": "443-771-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D39920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "j.brooksmd.p1@direct.calverthealth.nextgenshare.com",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging Address to send CCDAs",
            "affiliationName": "CalvertHealth Medical Group, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDAs",
            "address_1": "110 Hospital Dr",
            "address_2": "Suite 111",
            "city": "Prince Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "20678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.