Active NPI
Brooks Family Clinic LLC
- Addiction Medicine (Family Medicine) Physician
- North Las Vegas, NV
National Provider Identifier
1982000824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- Legal business name
- BROOKS FAMILY CLINIC LLC
- Practice address
- 3550 W Cheyenne Ave Ste 100
North Las Vegas, NV 89032-8252 - Phone
- (702) 570-5200
- NPI assigned
- Nov 4, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Devin Brooks
- Title
- Ceo
- Phone
- (702) 570-5200
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | Primary | ||
| Clinical Genetics (M.D.) Physician | 207SG0201X | |||
| Non-Surgical Family Planning Clinic/Center | 261QF0050X | |||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
3550 W Cheyenne Ave Ste 100
North Las Vegas, NV 89032-8252
Mailing address
3550 W Cheyenne Ave Ste 100
North Las Vegas, NV 89032-8252
Phone (702) 570-5200
National Provider Directory
National Provider DirectoryLocations
3550 W Cheyenne Ave
Ste 10
North Las Vegas, NV 89032
Phone (702) 570-5200
3550 W Cheyenne Ave
Ste 100
North Las Vegas, NV 89032
Phone (702) 570-5200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1527724800000",
"number": "1982000824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 W CHEYENNE AVE STE 100",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890328252",
"telephone_number": "702-570-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 W CHEYENNE AVE STE 100",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890328252",
"telephone_number": "702-570-5200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKS FAMILY CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-04",
"last_updated": "2018-05-31",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "DEVIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "702-570-5200"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207SG0201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0050X",
"taxonomy_group": "",
"desc": "Clinic/Center, Family Planning, Non-Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.