Individual
DR. CHARLES L BROOKS
Active
Individual
DR. CHARLES L BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
18703
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18703
STATE LICENSE
KS
01
—
200325360
TAXPAYER ID NUMBER
—
05
—
202138814
—
MO
05
—
2051807501
—
KS
01
—
MD116172
STATE LICENSE
MO
Enumeration date
05/09/2006
Last updated
06/15/2026
Update your record
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