Organization Active NPI

Brooks Medical of Mountain Home, Inc

  • Durable Medical Equipment & Medical Supplies
  • Mountain Home, AR
National Provider Identifier
1902224843
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BROOKS MEDICAL OF MOUNTAIN HOME, INC
Practice address
860 Highway 62 E
Suite 10
Mountain Home, AR 72653-3248
Phone
(870) 424-9808
Fax
(870) 424-9810
NPI assigned
Mar 28, 2014
Last updated
Mar 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Authorized official

Name
Rhonda FlowersNPI 1578849261
Title
President
Phone
(870) 424-9808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

860 Highway 62 E
Suite 10
Mountain Home, AR 72653-3248

Mailing address

860 Highway 62 E
Suite 10
Mountain Home, AR 72653-3248
Phone (870) 424-9808

Other identifiers 1

IdentifierTypeStateIssuer
166731716MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
Brooks Medical of Mountain Home Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1902224843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 HIGHWAY 62 E",
            "address_2": "SUITE 10",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533248",
            "telephone_number": "870-424-9808",
            "fax_number": "870-424-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 HIGHWAY 62 E",
            "address_2": "SUITE 10",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533248",
            "telephone_number": "870-424-9808",
            "fax_number": "870-424-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS MEDICAL OF MOUNTAIN HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-424-9808"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166731716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.