Robert Horton Brookman, D.O.
Individual provider Active NPI Pulmonary Disease Physician · Greensboro, GA
NPI 1902014913 · NPPES record last updated May 2, 2012
Key facts
- NPI
- 1902014913
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 057049 (GA)
- Practice address
- 1011 Rowans VW
Greensboro, GA 30642-3886 - Phone
- (706) 347-4944
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120517000378 | PA | Order and Referring Only - Internal Medicine |
5496918062 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057049 | GA | MD | Pulmonary Disease Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 057049 | GA | Yes |
Addresses
Primary practice location
1011 Rowans VW
Greensboro, GA 30642-3886
Mailing address
319 Vine St
#404
Philadelphia, PA 19106-1122
Phone (706) 347-4944
Other providers in Greensboro, GA
- Tiffany T Blake
- Jennifer V Bowers
- David Christopher Bradley
- Patti June Bradley
- George Rigo Brahn
- Garrett Nolan Brown
- Jill Buckthal-McCuin
- Charis Burhenn
- Brenton Burrell
- Ronald Wayne Burris Jr.
All providers in Greensboro, GA · Pulmonary Disease Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.