DR JEFFREY BROOKS PC (NPI# 1972069359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972069359 |
Entity Type | Organization |
Organization Name | DR JEFFREY BROOKS PC |
Other Organization Name | DR JEFFREY BROOKS PC |
Practice Address |
618 N New Ballas Rd Apt 409 Saint Louis MO 63141-6767 |
Mailing Address |
12910 Shelbyville Rd Ste 300 Louisville KY 40243-2404 |
Practice Telephone | 3145800199 |
Mailing Telephone | 5022442441 |
Mailing Fax Number | 5029968282 |
Enumeration Date | 2019-02-11 |
Last Update Date | 2019-03-12 |
Authorized Official Name | JOY STEVENS (CREDENTIALING DEPT. MANAGER) |
Authorized Official Telephone | 5022442441 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
Other Name | Type Code |
---|---|
Dr Jeffrey Brooks PC | Doing Business As Name - Organization |
Street Address |
618 N NEW BALLAS RD APT 409 |
City | SAINT LOUIS |
State | MO |
Zip Code | 63141-6767 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
Find all providers in zip 63141 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619448453 | S Thomas Sehy D P M L L C | Podiatrist | 6651 Chippewa St Ste 316, Saint Louis, MO 63109-2532 | 2018-12-05 |
1902339104 | Jay J Moradia | Podiatrist | 621 S New Ballas Rd Ste 7005b, Saint Louis, MO 63141-8275 | 2017-04-05 |
1003152273 | Foot Healers Holdings - St. Louis, LLC | Podiatrist | 8534 Eager Rd, Saint Louis, MO 63144-1435 | 2012-12-17 |
1760748420 | Robert Lee Bushman | Podiatrist | 10016 Office Center Ave, Suite 100, Saint Louis, MO 63128-1468 | 2012-04-07 |
1831481910 | Arch Podiatry LLC | Podiatrist | 2228 Hickory St, Saint Louis, MO 63104-2417 | 2011-05-09 |
1679887855 | Meghan Marie Arnold | Podiatrist | 621 S New Ballas Rd Ste 6011b, Saint Louis, MO 63141-8274 | 2010-07-30 |
1194961953 | North Side Foot Clinic P.C. | Podiatrist | 4451 Natural Bridge Ave, Suite 104, Saint Louis, MO 63115-2628 | 2008-12-29 |
1164573812 | Dave Quang Pham | Podiatrist | 2506 Pocahontas Pl, Saint Louis, MO 63144-2108 | 2007-01-16 |
1154426195 | Michael D Weiss Dpm and Associates, LLC | Podiatrist | 969 N Mason Rd Ste 180, Saint Louis, MO 63141-6338 | 2006-09-14 |
1528176625 | Terrance John Mueller | Podiatrist | 5427 Telegraph Rd, Saint Louis, MO 63129-3555 | 2006-08-28 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63141 |
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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.