Individual provider Active NPI

Bradley Brooks, D.O.

  • Psychiatry Physician
  • Mobile, AL
National Provider Identifier
1992237721
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DO.1916 Issued in AL
Practice address
1015 Montlimar Dr
Ste a-210
Mobile, AL 36609-1713
Phone
(251) 461-4243
Fax
(251) 450-4323
NPI assigned
Mar 30, 2017
Last updated
Jul 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X DO.1916 AL
Psychiatry Physician 2084P0800X DO.1916 AL Primary

Addresses

Primary practice location

1015 Montlimar Dr
Ste a-210
Mobile, AL 36609-1713

Mailing address

1015 Montlimar Dr
Ste a-210
Mobile, AL 36609-1713
Phone (251) 461-4243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200226001564 AL Practitioner - Psychiatry 3779838297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altapointe Health Systems IncGroup PAC ID 1052224052, 97 clinicians

Practice addresses (Care Compare)

5800 Southland Dr
Mobile, AL 36693-3313
Phone (251) 661-0173

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Altapointe Health Systems, Inc. CurrentSince Feb 3, 2020 Accepting new patients
Altapointe Health Systems, Inc. CurrentSince Feb 3, 2020 Accepting new patients

Locations

1015 Montlimar Dr
Ste A210
Mobile, AL 36609
Phone (251) 460-7189

2400 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 305-4660

5750A Southland Dr
Mobile, AL 36693
Phone (251) 450-5901

5800 Southland Dr
Mobile, AL 36693
Phone (251) 661-0153

Interoperability endpoints

  • Direct secure messaging: bradley.brooksmd.p1@direct.accordiahealth.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1992237721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 MONTLIMAR DR",
            "address_2": "STE A-210",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091713",
            "telephone_number": "251-461-4243",
            "fax_number": "251-450-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 MONTLIMAR DR",
            "address_2": "STE A-210",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091713",
            "telephone_number": "251-461-4243",
            "fax_number": "251-450-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "BRADLEY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-30",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "AL",
            "license": "DO.1916",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "DO.1916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.