Individual provider Active NPI

Daren Richard Brooks, M.D.

  • Anesthesiology Physician
National Provider Identifier
1962461053
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME140292 Issued in FL
Practice address
PSC 561 Box 178
Fpo, AP 96310-0012
JP
Phone
01181827793859
NPI assigned
Mar 20, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X 01061380A IN
Anesthesiology Physician 207L00000X ME140292 FL Primary

Addresses

Primary practice location

PSC 561 Box 178
Fpo, AP 96310-0012
JP

Mailing address

222 Sitara LN
Saint Johns, FL 32259-1220
Phone (904) 907-0890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200602002151 FL Practitioner - Anesthesiology 1052732898 Reassigns benefits to 4 organizations
I20220110001096 AR Practitioner - Anesthesiology 1052732898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Anesthesia of Arkansas Professional CorporationGroup PAC ID 6406077460, 87 clinicians

Practice addresses (Care Compare)

3215 N N Hills Blvd
Fayetteville, AR 72703-4424
Phone (479) 463-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME140292FLMDAnesthesiology Physician
01061380AINMDAerospace Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Aug 1, 2021 Accepting new patients
Baker County Medical Services Inc CurrentSince Jul 29, 2020 Accepting new patients
US Anesthesia Partners of Florida Inc. Anesthesiology CurrentSince Mar 1, 2020 Accepting new patients
Sleepy Head Anesthesiology LLC Anesthesiology CurrentSince Mar 6, 2021 Accepting new patients
Premier Anesthesia of Arkansas Professional Corporation Anesthesiology CurrentSince Jan 1, 2022 Accepting new patients
Sunbelt Anesthesia Services, LLC Anesthesiology CurrentSince Aug 19, 2020 Accepting new patients
Baker County Medical Services Inc CurrentSince Jul 29, 2020 Accepting new patients
Sunbelt Visiting Primary Care LLC PastSince Jan 1, 2017 Accepting new patients

Locations

3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

7051 Southpoint Pkwy S
Jacksonville, FL 32216
Phone (904) 432-1521

8833 Perimeter Park Blvd
Ste 901
Jacksonville, FL 32216
Phone (904) 240-4777

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

159 N 3rd St
Macclenny, FL 32063
Phone (904) 259-7815

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804

Interoperability endpoints

  • Direct secure messaging: dbrooks48699@washingtonregional.direct-ci.com

Organizations & group practices 8

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.

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962461053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SITARA LN",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322591220",
            "telephone_number": "904-907-0890"
        },
        {
            "country_code": "JP",
            "country_name": "Japan",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "PSC 561 BOX 178",
            "city": "FPO",
            "state": "AP",
            "postal_code": "963100012",
            "telephone_number": "01181827793859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "DAREN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2022-07-21",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "IN",
            "license": "01061380A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME140292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.