CHARLES MICHAEL BROOKS (NPI# 1053378604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053378604 |
| Entity Type | Individual |
| Full Name | CHARLES MICHAEL BROOKS |
| Credential | MD |
| Practice Address |
102 Handley Park Court Goldsboro NC 27534 |
| Mailing Address |
102 Handley Park Ct Goldsboro NC 27534-1768 |
| Practice Telephone | 9197343344 |
| Practice Fax Number | 9197353025 |
| Mailing Telephone | 9197343344 |
| Mailing Fax Number | 9197353025 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2015-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 28622 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8918571 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780121467 | Charles J Brooks | Otolaryngology | 15355 Peach Hill Rd, Saratoga, CA 95070-6402 | 2017-01-19 |
| 1851725311 | Charles A Brooks | Nurse Practitioner | 6160 Sw Highway 200 Ste 119, Ocala, FL 34476-8307 | 2013-09-02 |
| 1417244401 | Charles Brandten Brooks | Dentist | 105 West 13th, Hays, KS 67601 | 2011-06-29 |
| 1508177825 | Charles Paschal Brooks Jr. | Dentist | 13762 Magnolia St, Blakely, GA 39823-1875 | 2010-07-01 |
| 1306903737 | Charles Nelson Brooks | Orthopaedic Surgery | 18 Cascade Key, Bellevue, WA 98006-1002 | 2007-01-03 |
| 1538144381 | Charles Wilson Brooks | Optometrist | 201 S Abilene Ave, Portales, NM 88130-6207 | 2005-12-14 |
| 1114537966 | Charles D Brooks IIi | Nurse Practitioner | 29 Eastbrook Rd, Ronks, PA 17572-9769 | 2020-08-06 |
| 1003434648 | Charles Wayne Brooks Jr. | Pharmacist | 1 Medical Dr, Benson, NC 27504-1177 | 2020-07-09 |
| 1861830085 | Charles Edward Brooks | Counselor | 3175 S Congress Ave, Suite 304, Palm Springs, FL 33461-2500 | 2013-06-10 |
| 1427231638 | Charles Douglas Brooks | Radiology | 1901 Medi Park Dr, Suite 2050, Amarillo, TX 79106-2110 | 2007-12-11 |
| Street Address |
102 HANDLEY PARK COURT |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881675957 | Stephen C Lies | Obstetrics & Gynecology | 102 Handley Park Court, Goldsboro, NC 27534-1769 | 2005-11-07 |
| 1427039502 | Pam B Phillips | Nurse Practitioner | 102 Handley Park Court, Goldsboro, NC 27534-1769 | 2005-11-07 |
| 1629059704 | Hans Peter Roethling | Obstetrics & Gynecology | 102 Handley Park Court, Goldsboro, NC 27534-1769 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902855877 | Goldsboro Ob-gyn, Associates, Pllc | Obstetrics & Gynecology | 2608 Hospital Road, Goldsboro, NC 27534-9423 | 2006-05-09 |
| 1336197821 | Glen A Nowachek | Obstetrics & Gynecology | 2608 Hospital Rd, Goldsboro, NC 27534-9423 | 2006-05-05 |
| 1891776969 | John S Welsh Jr. | Obstetrics & Gynecology | 102 Handley Park Ct, Goldsboro, NC 27534-1769 | 2005-11-07 |
| 1881675957 | Stephen C Lies | Obstetrics & Gynecology | 102 Handley Park Court, Goldsboro, NC 27534-1769 | 2005-11-07 |
| 1619378551 | Wayne Women's Clinic | Obstetrics & Gynecology | 102 Handley Park Ct, Goldsboro, NC 27534-1768 | 2014-09-10 |
| 1417376716 | Lauren M Watty | Obstetrics & Gynecology | 102 Handley Park Ct, Goldsboro, NC 27534-1768 | 2014-04-15 |
| 1730124173 | Anita M Hudson-fraley | Obstetrics & Gynecology | 102 Handley Park Ct, Goldsboro, NC 27534-1768 | 2006-06-19 |
| 1851349203 | Robert W. Thiele | Obstetrics & Gynecology | 2608 Hospital Rd, Goldsboro, NC 27534-9423 | 2006-05-05 |
| 1477501997 | Gregory S Nichols | Obstetrics & Gynecology | 2608 Hospital Rd, Goldsboro, NC 27534-9423 | 2006-05-05 |
| 1487602934 | Joseph P Flynn | Obstetrics & Gynecology | 2608 Hospital Rd, Goldsboro, NC 27534-9423 | 2006-05-05 |
| Find all providers in GOLDSBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.