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Individual

DR. DOUGLAS PAUL BROOKS

Active
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Individual

DR. DOUGLAS PAUL BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2006-01808
NC
207Q00000X
Family Medicine Physician
Primary
27640
WV
207Q00000X
Family Medicine Physician
ME80363
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080160825
RAILROAD MEDICARE NUMBER
FL
01
—
2063252W
MEDICARE PTAN, INDIVIDUAL
NC
01
—
232009
MEDICARE PTAN, GROUP
NC
Enumeration date
05/17/2006
Last updated
03/27/2023
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