Organization Active NPI

Brooks Corp

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Nashville, TN
National Provider Identifier
1942556493
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
15976 Issued in TN
Legal business name
BROOKS CORP
Practice address
2120 Crestmoor Rd
Nashville, TN 37215-2654
Phone
(615) 934-9001
NPI assigned
Aug 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Terry Customs
Title
Ceo
Phone
(615) 934-9001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QH0002X 15976 TN Primary

Addresses

Primary practice location

2120 Crestmoor Rd
Nashville, TN 37215-2654

Mailing address

2120 Crestmoor Rd
Nashville, TN 37215-2654
Phone (615) 934-9001

National Provider Directory

National Provider Directory

Locations

2120 Crestmoor Rd
Nashville, TN 37215
Phone (615) 934-9001

NPI Registry JSON

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1942556493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 CRESTMOOR RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152654",
            "telephone_number": "615-934-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 CRESTMOOR RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152654",
            "telephone_number": "615-934-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "CUSTOMS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-934-9001"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "TN",
            "license": "15976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.