Active NPI
Caroline Patricia Brooks, MD
- Pediatrics Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 51178
- Practice address
- 701 Grove Rd FL 5
Greenville, SC 29605-4210 - Phone
- (864) 455-4411
- Fax
- (864) 455-4480
- NPI assigned
- Apr 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 51178 | SC | Primary |
Addresses
Primary practice location
701 Grove Rd FL 5
Greenville, SC 29605-4210
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8617
Other practice location 1
20 Medical Ridge Dr
Greenville, SC 29605-4267
Phone (864) 220-7270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 511789 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cbrooks18741@direct.ghs.myhfn.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200805001524 | SC | Practitioner - Pediatric Medicine | 7214293174 | Reassigns benefits to 1 organization |
| I20210729000086 | IL | Practitioner - Pediatric Medicine | 7214293174 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care Inc | Current | Accepting new patients | |
| Community Health Care, Inc. | Current | Accepting new patients | |
| Community Health Care, Inc. | Current | Accepting new patients | |
| Prisma Health-Upstate | Past | Accepting new patients |
Locations
500 W River Dr
Davenport, IA 52801
Phone (563) 327-2035
1106 4th Ave
Moline, IL 61265
Phone (309) 623-4817
2750 11th St
Rock Island, IL 61201
Phone (563) 327-2000
2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- East Moline, IL
- NPI 1669360459
-
- Federally Qualified Health Center (FQHC)
- Moline, IL
- NPI 1467066357
-
- Federally Qualified Health Center (FQHC)
- Rock Island, IL
- NPI 1598759292
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1649726738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728000000000",
"number": "1992230387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-522-8617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 GROVE RD FL 5",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054210",
"telephone_number": "864-455-4411",
"fax_number": "864-455-4480"
}
],
"practiceLocations": [
{
"address_1": "20 Medical Ridge Dr",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296054267",
"country_code": "US",
"telephone_number": "864-220-7270",
"fax_number": "864-241-9211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROOKS",
"first_name": "CAROLINE",
"middle_name": "PATRICIA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-24",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "51178",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "511789",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cbrooks18741@direct.ghs.myhfn.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "cbrooks18741@direct.ghs.myhfn.org",
"address_1": "20 Medical Ridge Dr",
"city": "Greenville",
"state": "SC",
"country_code": "US",
"postal_code": "296054267",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.