DR. BRADLEY DERL BROOKS (NPI# 1952499279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952499279 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY DERL BROOKS |
| Credential | DDS |
| Practice Address |
5301 50th Street #200 Lubbock TX 79414 |
| Practice Telephone | 8067922759 |
| Practice Fax Number | 8067923739 |
| Mailing Telephone | 8067922759 |
| Mailing Fax Number | 8067923739 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 16481 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154676716 | Bradley Justin Brooks | Registered Nurse | 34 Orchard St, Holley, NY 14470-1060 | 2012-07-19 |
| 1992237721 | Bradley Brooks | Student in an Organized Health Care Education/Training Program | 1015 Montlimar Dr, Ste A-210, Mobile, AL 36609-1713 | 2017-03-30 |
| Street Address |
5301 50TH STREET #200 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275182032 | Ensight Vision LLC | Optometrist | 6002 Slide Road, Lubbock, TX 79414 | 2019-09-05 |
| 1932697604 | Lone Star Mobile Med | Family Medicine | 5504 Wayne Ave Ste 105, Lubbock, TX 79414 | 2018-04-27 |
| 1679986806 | Nicole Evans-taylor | Pharmacist | 4847 Slide Road, Lubbock, TX 79414 | 2014-06-05 |
| 1679911697 | Jamel Deshane Vaughn | Optometrist | 6002 Slide Rd Ste P-8, Lubbock, TX 79414 | 2013-06-12 |
| 1659663284 | Vision One Associates | Optometrist | 6221 Slide Road, Lubbock, TX 79414 | 2011-05-16 |
| 1154445963 | C M Davis Od Pllc | Optometrist | 6002 Slide Road Suite P-8, Lubbock, TX 79414 | 2007-03-19 |
| 1922154632 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 5602 Slide Road, Lubbock, TX 79414 | 2007-01-26 |
| 1043393846 | Emily Rose Bohn | Physical Therapist | 3501 S. Loop 289, Lubbock, TX 79414 | 2006-10-23 |
| 1720176928 | Vann Alexander Home Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 5313 50th Street, Suite D-5, Lubbock, TX 79414 | 2006-10-11 |
| 1275627473 | Shannon Michelle Galyean | Dietitian, Registered | 3805 22nd Place, Lubbock, TX 79414 | 2006-10-03 |
| Find all providers in zip 79414 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152207 | Robert Michael Mccauley IIi | Dentist | 4425 98th St Ste 100, Lubbock, TX 79424-5037 | 2020-07-27 |
| 1346809670 | Abbeville Special Needs Dentistry Pllc | Dentist | 2420 Quaker Ave Ste 101, Lubbock, TX 79410-1817 | 2019-06-11 |
| 1609249044 | John Vinings, Dds, P.a. | Dentist | 2811 S Loop 289 Ste 12, Lubbock, TX 79423-1443 | 2015-11-06 |
| 1962879973 | Emeka Arinze Ezeokeke | Dentist | 4819 Avenue Q, Lubbock, TX 79412-2209 | 2015-08-25 |
| 1497138622 | Saly Badri | Dentist | 5607 Slide Rd Ste 200, Lubbock, TX 79414-4104 | 2015-07-07 |
| 1780931444 | Joseph Dylan Everett | Dentist | 6123 79th St Ste 100, Lubbock, TX 79424-8708 | 2012-08-12 |
| 1902123409 | Michael Walker | Dentist | 5807 92nd St, Lubbock, TX 79424-3630 | 2010-04-23 |
| 1154590321 | Charles Thomas Maupin | Dentist | 3233 63rd St, Suite A, Lubbock, TX 79413-5742 | 2008-02-21 |
| 1952434763 | Robert Andrew Welch | Dentist | 4903 82nd St, Suite 60, Lubbock, TX 79424 | 2007-03-13 |
| 1164573606 | Ronald Allan Hawkins | Dentist | 5255 79th St, Lubbock, TX 79424-2852 | 2007-01-12 |
| Find all providers in LUBBOCK | ||||
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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.