John Brooks Jr., M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

01010-28786 Issued in VA

Practice address

255 W Bute St
Norfolk, VA 23510-1403

Phone

(757) 627-3790

Fax

(757) 623-5023

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1881602555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W BUTE ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101403",
            "telephone_number": "757-627-3790",
            "fax_number": "757-623-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W BUTE ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101403",
            "telephone_number": "757-627-3790",
            "fax_number": "757-623-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JOHN",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "01010-28786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006081312",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "541210461",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Frances Bronco, PHARM.D.
• Amelia Brooks, LCSW
• Chantal Brooks, M.D.
• Helena Gerd Brooks, DO
• Jared Lawrence Brooks, M.D.
• Marechal-Neil Brooks, M.D.
• Timothy Ray Brooks, M.D.
• Whitney Di Sandro Brooks, M.D.
• Yolanda Brooks, NP
• Gad Brosch

• Specialist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.