JUSTIN THOMAS BROOKS (NPI# 1811207335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811207335 |
| Entity Type | Individual |
| Full Name | JUSTIN THOMAS BROOKS |
| Credential | PA |
| Practice Address |
225 Baldwin Ave Charlotte NC 28204-3109 |
| Practice Telephone | 7043761605 |
| Practice Fax Number | 7043358448 |
| Mailing Telephone | 7043761605 |
| Mailing Fax Number | 7043358448 |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2020-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 001002584 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0010-02584 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104168590 | Justin Ryan Brooks | General Practice | 11500 Lipscomb Way, White Marsh, MD 21162 | 2013-03-23 |
| 1033494570 | Justin Brooks | Pharmacist | 4056 Meander Pl Unit 201, Rockledge, FL 32955-5277 | 2011-10-17 |
| 1962026096 | Justin Brent Brooks | Nurse Anesthetist, Certified Registered | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-06-04 |
| 1659682524 | Justin Mark Brooks | Internal Medicine | 3050 Montvale Dr Ste A, Springfield, IL 62704-6924 | 2010-06-25 |
| Street Address |
225 BALDWIN AVE |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871599035 | David M Grack | Physician Assistant | 225 Baldwin Ave, Charlotte, NC 28204-3109 | 2005-06-22 |
| 1386251668 | Matthew A Oberst | Physical Therapist | 225 Baldwin Ave, Charlotte, NC 28204-3109 | 2020-09-30 |
| 1235605510 | Eleanor May Mcmillan | Physical Therapist | 225 Baldwin Ave, Charlotte, NC 28204-3109 | 2018-10-15 |
| 1396224341 | Daniel R Hyatt | Physical Therapist | 225 Baldwin Ave, Charlotte, NC 28204-3109 | 2018-08-10 |
| 1295227668 | Steven James Test | Physical Therapist | 225 Baldwin Ave, Charlotte, NC 28204 | 2018-06-01 |
| 1477067312 | Kimberly H Meyran | Nurse Practitioner | 225 Baldwin Ave, Charlotte, NC 28204 | 2017-11-30 |
| 1952778938 | Kari E Tuttrup | Physical Therapist | 225 Baldwin Ave, Charlotte, NC 28204-3109 | 2015-08-26 |
| 1457740599 | Stephanie Rose Lozzi | Physical Therapist | 225 Baldwin Ave, Charlotte, NC 28204-3109 | 2015-01-13 |
| 1902294226 | Sanders Dickinson Guignard | Physician Assistant | 225 Baldwin Ave, Charlotte, NC 28204 | 2015-01-08 |
| 1215367420 | Ashley D Howell | Physician Assistant | 225 Baldwin Ave, Charlotte, NC 28204-3109 | 2013-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316411713 | Nicole Alyse Zbiciak | Physician Assistant | 325 Hawthorne Ln Ste 300, Charlotte, NC 28204-2536 | 2019-01-18 |
| 1588060412 | Jessica Fowler Michalak | Physician Assistant | 2104 Randolph Rd, Charlotte, NC 28207-1522 | 2014-11-04 |
| 1396154209 | Kayla Lacci | Physician Assistant | 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 | 2014-08-05 |
| 1457794125 | Lauren S Jones | Physician Assistant | 225 Baldwin Ave, Charlotte, NC 28204-3109 | 2013-04-12 |
| 1073879060 | Michael A Marconi | Physician Assistant | 3541 Randolph Road, Suite 210, Charlotte, NC 28211-2886 | 2012-04-04 |
| 1912284266 | Sapnil D Patel | Physician Assistant | 225 Baldwin Ave, Charlotte, NC 28204-3109 | 2011-11-14 |
| 1215222310 | Angela Marie Darket | Physician Assistant | 225 Baldwin Ave, Charlotte, NC 28204-3109 | 2011-06-16 |
| 1164730487 | Kristin Kathleen Teague | Physician Assistant | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2010-09-21 |
| 1700110814 | Rachelle M. Eiden | Physician Assistant | 10512 Park Rd, Suite 101, Charlotte, NC 28210-8475 | 2009-09-22 |
| 1588849327 | Orthocarolina | Physician Assistant | 4601 Park Rd, Suite 300, Charlotte, NC 28209-3239 | 2007-12-28 |
| Find all providers in CHARLOTTE | ||||
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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.