Organization
CARDIAC CARE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH M BROOKS MD (MD MANAGING PARTNER)
(703) 641-9161
Entity
Organization
Contact information
Practice address
3023 HAMAKER CT, SUITE #100, FAIRFAX, VA 22031
(703) 641-9161
(703) 641-0383
Mailing address
3023 HAMAKER COURT, SUITE #100, FAIRFAX, VA 22031
(703) 641-9161
(703) 641-0383
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA1708
RAIL ROAD MEDICARE ID
VA
Enumeration date
08/31/2006
Last updated
12/22/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us