Individual provider Active NPI

Gary W Brooks Jr., MD

  • Emergency Medicine Physician
  • West Plains, MO
National Provider Identifier
1962728824
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2017032774 Issued in MO
Practice address
1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone
(918) 286-5000
Fax
(918) 249-7514
NPI assigned
Apr 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27790 OK
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 2017032774 MO Primary

Addresses

Primary practice location

1100 N Kentucky Ave
West Plains, MO 65775-2029

Mailing address

10109 E 79TH Street
Southwestern Regional Medical Center
Tulsa, OK 74133
Phone (918) 286-5131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, 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
I20171005000424 MO Practitioner - Emergency Medicine 3476795089 Reassigns benefits to 2 organizations
I20180201002804 AR Practitioner - Emergency Medicine 3476795089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as group
Quality
78.58
Promoting interoperability
99
Improvement activities
40
Cost
77.82

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Arkansas Emergency Physicians LLP Emergency Medicine Current Accepting new patients
Ozarks Medical Center CurrentSince Aug 9, 2023 Accepting new patients
Nevada City Hospital CurrentSince Jul 1, 2023 Accepting new patients
Nevada City Hospital CurrentSince Jul 1, 2023 Accepting new patients
Ozarks Medical Center CurrentSince Aug 9, 2023 Accepting new patients
South Arkansas Emergency Physicians, LLP Emergency Medicine CurrentSince Jan 19, 2018 Accepting new patients

Locations

1255 S Shiloh Dr
Fayetteville, AR 72701
Phone (479) 757-1760

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

2330 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

900 S Adams St
Nevada, MO 64772
Phone (417) 667-3355

800 S Ash St
Nevada, MO 64772
Phone (417) 667-3355

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Interoperability endpoints

  • Direct secure messaging: gbrooks87202@surescripts.sfmc.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1962728824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10109 E 79TH STREET",
            "address_2": "SOUTHWESTERN REGIONAL MEDICAL CENTER",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74133",
            "telephone_number": "918-286-5131",
            "fax_number": "918-249-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N KENTUCKY AVE",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752029",
            "telephone_number": "918-286-5000",
            "fax_number": "918-249-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "GARY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-15",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "27790",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2017032774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Plains, MO

Sources for this page

Verify at the official NPI Registry.