Individual
DR. DOUGLAS PAUL BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1512 36TH ST, PARKERSBURG, WV 26104-1942
(304) 893-9251
(304) 893-9152
Mailing address
1512 36TH ST, PARKERSBURG, WV 26104-1942
(304) 893-9251
(304) 893-9152
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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