NPIMap

Individual provider Active NPI

Douglas Paul Brooks, M.D.

  • Family Medicine Physician
  • Parkersburg, WV
National Provider Identifier
1902858707
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27640 Issued in WV
Practice address
1512 36TH St
Parkersburg, WV 26104-1942
Phone
(304) 893-9251
Fax
(304) 893-9152
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2006-01808 NC
Family Medicine Physician 207Q00000X 27640 WV Primary
Family Medicine Physician 207Q00000X ME80363 FL

Addresses

Primary practice location

1512 36TH St
Parkersburg, WV 26104-1942

Mailing address

1512 36TH St
Parkersburg, WV 26104-1942
Phone (304) 893-9251

Other identifiers 3

IdentifierTypeStateIssuer
232009OtherNCMEDICARE PTAN, GROUP
2063252WOtherNCMEDICARE PTAN, INDIVIDUAL
080160825OtherFLRAILROAD MEDICARE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2022 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2006-01808NCMDFamily Medicine Physician
27640WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc Family Medicine Past Accepting new patients
Union Urgent Care LLC Family Medicine Past Accepting new patients
Carolinas Medical Center-Northeast Past Accepting new patients
Carolinas Physicians Network Inc Family Medicine Past Accepting new patients
Cabarrus Urgent Care Family Medicine Past Accepting new patients
Union Urgent Care LLC Family Medicine Past Accepting new patients
CMC-Northeast, Inc. Past Accepting new patients
Christopherson Family Medicine, LLC Family Medicine Past Accepting new patients
Carolinas Physicians Network Inc Family Medicine Past Accepting new patients
CMC-Northeast, Inc. Past Accepting new patients
Baycare Urgent Care, LLC Family Medicine Past Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients
Carolinas Physicians Network Inc Family Medicine Past Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: douglas.brooks@389377987444740.direct.elationemr.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1902858707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 36TH ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261041942",
            "telephone_number": "304-893-9251",
            "fax_number": "304-893-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 36TH ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261041942",
            "telephone_number": "304-893-9251",
            "fax_number": "304-893-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "DOUGLAS",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2006-01808",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "27640",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME80363",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN, GROUP",
            "identifier": "232009",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN, INDIVIDUAL",
            "identifier": "2063252W",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "080160825",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.