MR. JEFFREY A BROOKS (NPI# 1861556631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861556631 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY A BROOKS |
| Credential | PA-C |
| Practice Address |
4400-3 E Central Texas Expy Suite A Killeen TX 76543-7372 |
| Practice Telephone | 2546906300 |
| Practice Fax Number | 2546907816 |
| Mailing Telephone | 2546906300 |
| Mailing Fax Number | 2546907816 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2011-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699264598 | Jeffrey Brooks | Licensed Practical Nurse | 20415 Balfour St, Apt 4, Harper Woods, MI 48225 | 2018-05-07 |
| 1790800050 | Jeffrey Adam Brooks | Pharmacy Technician | 107 Douglas Rd, Marquette Heights, IL 61554-1415 | 2007-03-19 |
| 1508968462 | Jeffrey Brooks | Counselor | 150 W Hildale, Detroit, MI 48203-1948 | 2006-09-02 |
| 1073541876 | Jeffrey Lane Brooks | Surgery | 935 Trancas St Ste 2c, Napa, CA 94558-2944 | 2006-06-29 |
| 1235138322 | Jeffrey Alan Brooks | Optometrist | 6818 Market St, Upper Darby, PA 19082-2412 | 2005-07-20 |
| 1124536545 | Jeffrey Alan Brooks | Pharmacist | 10004 E Dr Martin Luther King Jr Blvd, Tampa, FL 33610-7461 | 2018-01-19 |
| 1497208565 | Jeffrey Robert Brooks | Podiatrist | 3230 Waring Ct Ste M, Oceanside, CA 92056-4509 | 2016-07-25 |
| 1669620928 | Jeffrey G Brooks | Counselor | 1310 Rockaway Pkwy, Brooklyn, NY 11236-2339 | 2008-08-28 |
| 1265694590 | Jeffrey Harold Brooks | Dentist | 875 Union Ave, Room N328, Memphis, TN 38103-3513 | 2008-06-27 |
| 1588839252 | Jeffrey G. Brooks | Radiology | 88 E Newton St, Boston, MA 02118-2308 | 2008-04-24 |
| Street Address |
4400-3 E CENTRAL TEXAS EXPY SUITE A |
| City | KILLEEN |
| State | TX |
| Zip Code | 76543-7372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871146415 | 20 20 Icare Pllc | Optometrist | 3213 E Central Expressway Ste 100b, Killeen, TX 76543 | 2019-07-23 |
| 1801377627 | Pankti Shah | Physical Therapist | Rosewood Retirement Community, 5700 E. Central Texas Expy, Killeen, TX 76543 | 2018-08-29 |
| 1134648207 | Metx, LLC | Audiologist-Hearing Aid Fitter | 3210 E Central Texas Expy, Killeen, TX 76543 | 2017-09-11 |
| 1558770628 | Pm Management Killeen I Nc, LLC | Assisted Living Facility | 5701 E. Central Texas Expressway, Killeen, TX 76543 | 2014-08-04 |
| 1649688722 | Rashad Altawaty | Dentist | 2202 South W S Young Drive, Killeen, TX 76543 | 2014-08-01 |
| 1881950004 | Bradley V Culling | Anesthesiology | 3400 E Central Texas Expy Ste 1, Killeen, TX 76543 | 2012-04-02 |
| 1437386364 | Cenikor Foundation | Community/Behavioral Health | 4520 E Central Texas Expressway, #102, Killeen, TX 76543 | 2009-06-18 |
| 1851595060 | Jack Jones Hearing Centers, Inc | Audiologist | 1711 E Central Texas Expressway, Suite 108-3, Killeen, TX 76543 | 2007-06-12 |
| 1871713412 | Olga Rodgers | Speech-Language Pathologist | 2201 South Ws Young, Suite 117 A-1, Killeen, TX 76543 | 2007-04-26 |
| 1336367978 | Advanced Women's Health Center, Pa | Clinic/Center | 2201 South Ws Young Drive, Suite 114b, Killeen, TX 76543 | 2007-04-20 |
| Find all providers in zip 76543 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093063380 | Jennifer Ellen Young | Physician Assistant | 2301 S Clear Creek Rd Ste 206, Killeen, TX 76549-4119 | 2012-08-17 |
| 1033259155 | Dorothy Mae Thompson | Physician Assistant | 4310 Boots Dr, Killeen, TX 76549-2794 | 2007-02-07 |
| 1760042071 | Samantha Duran Mcgrade | Physician Assistant | 4501 S Clear Creek Rd, Killeen, TX 76549-4218 | 2019-06-18 |
| 1023044898 | Matt P. Prewitt | Physician Assistant | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
| 1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
| 1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
| 1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
| 1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
| 1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
| 1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
| 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.