MR. GREGORY S. BROOKS (NPI# 1063655140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063655140 |
| Entity Type | Individual |
| Full Name | MR. GREGORY S. BROOKS |
| Credential | IDMT |
| Practice Address |
2355 Faculty Dr Suite 1n207 10th Amds Usafa CO 80840 |
| Mailing Address |
2355 Faculty Drive Suite 1n207 10th Amds Usafa CO 80840 |
| Practice Telephone | 7193335187 |
| Mailing Telephone | 7193335187 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629682836 | Gregory David Brooks Sr. | Pharmacist | 14001 Hwy 29, Suite 202a, Liberty Hill, TX 78642 | 2020-09-04 |
| 1053430512 | Gregory S. Brooks | Family Medicine | 395200 W 2900 Rd, Ochelata, OK 74051-2463 | 2007-03-28 |
| 1558421164 | Gregory S Brooks | Pharmacist | 7172 Columbia Gateway Dr, Columbia, MD 21046-2990 | 2006-12-12 |
| 1730283391 | Gregory M Brooks | Dentist | 903 N San Fernando Blvd, Ste #1, Burbank, CA 91504 | 2006-09-12 |
| 1013268101 | Gregory Jerome Brooks Jr. | Social Worker | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2012-09-28 |
| 1760748818 | Gregory L Brooks | Nurse Practitioner | 2501 N Blackwelder Ave, Oklahoma City, OK 73106-1402 | 2012-04-03 |
| 1912077769 | Gregory M. Brooks | Nurse Practitioner | 1425 Portland Ave, Rochester, NY 14621-3001 | 2006-11-09 |
| 1285724260 | Gregory Tood Brooks | Family Medicine | 2820 16th St Ne, Hickory, NC 28601-9600 | 2006-10-13 |
| 1326091570 | Gregory Norman Brooks | Radiology | 8020 Constitution Pl Ne, Suite 202, Albuquerque, NM 87110-7607 | 2006-05-18 |
| 1134178817 | Gregory D Brooks | Allergy & Immunology | 3503 Samson Way, Suite 108, Bellevue, NE 68123-4303 | 2006-05-09 |
| Street Address |
2355 FACULTY DR SUITE 1N207 10TH AMDS |
| City | USAFA |
| State | CO |
| Zip Code | 80840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114554011 | Christina Dang | Student in an Organized Health Care Education/Training Program | 4355-b Faculty Drive, Us Air Force Academy, CO 80840 | 2020-03-23 |
| 1053893123 | Glen William Myers | Dentist | 2355-b Faculty Dr, Usaf Academy, Colorado, Usafa, AA 80840 | 2018-09-05 |
| 1225374499 | National Vision Optical | Technician/Technologist | Bldg 5136, Community Center Dr., Us Air Force Academy, CO 80840 | 2012-12-17 |
| 1366758906 | Brett Michael Germain | Dentist | 2355-b Faculty Dr., Usaf Academy, CO 80840 | 2010-08-20 |
| 1518289115 | Renee Jean Cole | Military Health Care Provider | 4515 East Juniper Dr Unit A, Usaf Academy, CO 80840 | 2010-02-23 |
| 1801092390 | Bryant Mcneill | Internal Medicine | 4102 Pinion 10mdg, Usaf Academy, CO 80840 | 2007-06-22 |
| 1447384383 | Francis Crosby Jr. | Physician Assistant | 4102 Pinon Drive, Usaf Academy, CO 80840 | 2007-03-15 |
| 1023115870 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 5136 Eagle Dr, Ste 102, Usaf Academy, CO 80840 | 2006-09-20 |
| 1669582722 | Scott Layle Carbaugh | Physician Assistant | 4102 Pinion Dirve, Usaf Academy, CO 80840 | 2006-08-30 |
| 1346250859 | Linda Marie Case | Neuromusculoskeletal Medicine & OMM | 2355 Faculty Drive, Suite 1n207 Cadet Flight Medicine Clinic - 10th Amds, Usafa, CO 80840 | 2006-08-08 |
| Find all providers in zip 80840 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255754214 | Lynor Dicang Hardy | Military Health Care Provider | Cheyenne Mountain Air Station, Colorado Springs, CO 80922 | 2014-01-28 |
| 1912243239 | Lerinda Kay Carle | Military Health Care Provider | 6676 Myrtle Creek Dr, Colorado Springs, CO 80927-4034 | 2012-12-13 |
| 1558611103 | Darin Lee Hoki | Military Health Care Provider | 19471 E. Brunswick Dr., Aurora, CO 80013 | 2012-09-11 |
| 1851675011 | Susanne Clariece Fry | Military Health Care Provider | 2540 Brady Dr, Colorado Springs, CO 80917-4021 | 2011-10-06 |
| 1780968859 | Lindsey Shanks | Military Health Care Provider | 30330 Palomino Dr, Evergreen, CO 80439-8602 | 2011-10-06 |
| 1881977312 | Brande Nicole Sims | Military Health Care Provider | 605 Harvest Field Way, Fountain, CO 80817-3185 | 2011-09-21 |
| 1518289115 | Renee Jean Cole | Military Health Care Provider | 4515 East Juniper Dr Unit A, Usaf Academy, CO 80840 | 2010-02-23 |
| 1588996243 | Luke William Willis | Military Health Care Provider | 1965 Shawnee Dr, Colorado Springs, CO 80915-1920 | 2010-02-05 |
| 1881838563 | James Edwin Dixon | Military Health Care Provider | 1 William White Blvd, Pueblo, CO 81001-4829 | 2009-04-27 |
| 1932342094 | Daniel Luther Green IIi | Military Health Care Provider | 1 Norad Rd, Colorado Springs, CO 80914-6001 | 2009-04-19 |
| Find all providers with the same taxonomy | ||||
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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.