Individual provider Active NPI

Bonnie J Brooks, M.D.

  • Ophthalmology Physician
  • Brunswick, GA
National Provider Identifier
1912973264
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
052897 Issued in GA
Practice address
3303A Glynn Ave
Brunswick, GA 31520-4406
Phone
(912) 466-9500
Fax
(912) 466-9922
NPI assigned
Feb 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 052897 GA Primary

Addresses

Primary practice location

3303A Glynn Ave
Brunswick, GA 31520-4406

Mailing address

3303A Glynn Ave
Brunswick, GA 31520-4406
Phone (912) 466-9500

Other practice location 1

101 Darling Ave
Waycross, GA 31501-5219
Phone (912) 584-0047

Other identifiers 3

IdentifierTypeStateIssuer
18BDGMDOtherMEDICARE
564351201AMedicaidGA
52183193-001OtherGABLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050804000519 GA Practitioner - Ophthalmology 5092743617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Georgia School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seaside Ophthalmology IncGroup PAC ID 3375571995, 7 clinicians

Practice addresses (Care Compare)

3303 A Glynn Ave
Brunswick, GA 31520-4406
Phone (912) 466-9500

Hospital & facility affiliations

  • Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery705

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
052897GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seaside Ophthalmology, Inc Ophthalmology CurrentSince Aug 1, 2005 Accepting new patients
Seaside Surgical, LLC Current Accepting new patients
Kandallu R Ramesh, MD, PC Past Accepting new patients

Locations

3303 Glynn Ave
#B
Brunswick, GA 31520
Phone (912) 355-7214

3303 Glynn Ave
#A
Brunswick, GA 31520
Phone (912) 466-9500

3303 Glynn Ave
Brunswick, GA 31520
Phone (912) 354-4800

1891 Highway 40 E
Ste 1102
Kingsland, GA 31548
Phone (912) 576-4466

101 Darling Ave
Waycross, GA 31501
Phone (912) 287-1297

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1912973264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303A GLYNN AVE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204406",
            "telephone_number": "912-466-9500",
            "fax_number": "912-466-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303A GLYNN AVE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204406",
            "telephone_number": "912-466-9500",
            "fax_number": "912-466-9922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Darling Ave",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315015219",
            "country_code": "US",
            "telephone_number": "912-584-0047",
            "fax_number": "912-490-1498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "BONNIE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "052897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "18BDGMD",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "564351201A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "52183193-001",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.