Brook Fears

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

032245 Issued in MO

Practice address

2913 Bedoll Ave
Poplar Bluff, MO 63901-6809

Phone

(573) 785-0903

Fax

(573) 756-2109

NPI assigned

Mar 30, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1881714285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 BEDOLL AVE",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639016809",
            "telephone_number": "573-785-0903",
            "fax_number": "573-756-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 BEDOLL AVE",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639016809",
            "telephone_number": "573-785-0903",
            "fax_number": "573-756-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEARS",
        "first_name": "BROOK",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "MO",
            "license": "032245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Farris
• Bonnie Sue Faughn
• Tammie Faughn, B.S.
• Andrew Charles Faulkner
• FCC Medical Clinics LLC (FCC Primary Care Clinic Poplar Bluff)
• James Feece, BS,CSS
• Brandon Tyler Felps
• Carmella Fenske, CRADC
• Melissa Ferguson
• Zachary L Ferguson, PA

• Personal Care Attendant in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Personal Care Attendant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.