Individual
DR. JASON ANDREW BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01065114A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01065114A
MEDICAL LICENSE
IN
01
—
01065114B
CONTROLLED SUBSTANCE REGISTRATION
IN
01
—
1427215128
BCBS IL
IN
01
—
35-1441433
CSHCS
IN
01
—
351441433
CIGNA
IN
01
—
570331
ANTHEM BCBS
IN
01
—
9401139
AETNA
IN
01
—
IN5114
EYEMED
IN
Enumeration date
05/20/2008
Last updated
03/07/2023
Update your record
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