Chimere Brooks
Individual provider Active NPI Contractor · Durham, NC
NPI 1962877720 · NPPES record last updated Dec 4, 2015
Key facts
- NPI
- 1962877720
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 4001Meriwether Drive Apt P-19
Durham, NC 27704 - Phone
- (704) 218-1814
- NPI assigned
- Dec 4, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | NC | Yes |
Addresses
Primary practice location
4001Meriwether Drive Apt P-19
Durham, NC 27704
Mailing address
4001 Meriwether Dr Apt P19
Durham, NC 27704-2787
Phone (704) 218-1814
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.