Organization
JAMES S. BROOKS, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES S BROOKS MD (SOLE MEMBER)
(248) 356-7772
Entity
Organization
Contact information
Practice address
29275 NORTHWESTERN HWY STE 208, SOUTHFIELD, MI 48034-5744
(248) 356-7772
(248) 356-7779
Mailing address
29275 NORTHWESTERN HWY STE 208, SOUTHFIELD, MI 48034-5744
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301403985
MI
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0634232
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
1689653305
BEAUMONT HEALTH
MI
05
—
2833926
—
MI
01
—
6311410
CIGNA
MI
01
—
P72380
BLUE CARE NETWORK
MI
Enumeration date
03/26/2017
Last updated
02/04/2020
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