Doug Brooks, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

870 Seven Hills Dr Ste 203
Henderson, NV 89052-4379

Phone

(801) 318-9887

NPI assigned

Nov 17, 2022

Last updated

May 22, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Touro Un Col of Osteopathic Medicine, Henderson, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Vincent D Ho Psychiatry PLLCGroup PAC ID 2062642085, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Vincent D Ho Psychiatry PLLC

  • Psychiatry Physician
  • Henderson, NV
  • NPI 1669804688
  Medicare reassignment Care Compare group
• Raquel Martinez

  • Community/Behavioral Health Agency
  • Henderson, NV
  • NPI 1861021438
  NPD

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1871202895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 TRANQUIL BROOK AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890441684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 SEVEN HILLS DR STE 203",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524379",
            "telephone_number": "801-318-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "DOUG",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-17",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Broadnax Monet Broadanx
• Destiny Broaden, AUD
• Howard J Broder, M.D.
• Marilyn Helen Brodersen, MFT
• Deloris Brooks, CFOM
• Jamiya Brooks
• Tyneshia A Brooks, M.S. CPCI
• Kristen Brosig
• Shereka Lasha Browb
• Tom Browder

• Physician Assistant in Henderson, NV
• Providers in Henderson, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.