Brian Scott Brooks, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA3061 Issued in FL

Practice address

22066 SE 71St Ave
Hawthorne, FL 32640-3969

Phone

(352) 481-2700

Fax

(352) 481-2392

NPI assigned

Jul 18, 2005

Last updated

Feb 25, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Group practices

Rural Health Care IncorporatedGroup PAC ID 7214849520, 29 clinicians

Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brianscott.brooks.p1@direct.azahealth.nextgenshare.com

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

• Rural Health Care Incorporated

  dba Aza Health

  • Federally Qualified Health Center (FQHC)
  • Palatka, FL
  • NPI 1871569061
  Medicare reassignment Care Compare group NPD (past)
• Lake Area Physical Therapy Inc

  dba Lake Area Physical Therapy & Aquatics

  • Physical Therapist
  • Melrose, FL
  • NPI 1376682518
  Care Compare group
• Rural Health Care, Inc.

  dba Aza Health

  • Federally Qualified Health Center (FQHC)
  • Daytona Beach, FL
  • NPI 1891227179
  NPD
• Atlas Diagnostics Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Punta Gorda, FL
  • NPI 1033185889
  NPD (past)

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1962401554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 RIVER ST",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321775042",
            "telephone_number": "386-326-7342",
            "fax_number": "386-325-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22066 SE 71ST AVE",
            "city": "HAWTHORNE",
            "state": "FL",
            "postal_code": "326403969",
            "telephone_number": "352-481-2700",
            "fax_number": "352-481-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "BRIAN",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA3061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailee Banks, M.D.
• Brittany Baxley, LMT
• Best Care Transport Inc (best care transport)
• Bio Medical Applications of Florida, Inc (FMC Dialysis Services of Hawthorne)
• Michelle Blackwood
• Celtic Enterprize Inc (PhysioRehab)
• Celtic Enterprize Inc (PhysioRehab)
• Tynnatta Chess, AGENCY/GROUP
• Joseph J Ciccio, PT
• Richard Lee Colonel

• Physician Assistant in Hawthorne, FL
• Providers in Hawthorne, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.