Individual
AMBER KELLER BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-1900
(336) 716-2255
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
27648
AL
208VP0014X
Interventional Pain Medicine Physician
Primary
2013-01005
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051106821
BCBS
AL
01
—
051106822
BCBS
AL
01
—
051106823
BCBS
AL
01
—
051106824
BCBS
AL
05
—
08929349
—
MS
05
—
119647
—
AL
05
—
119648
—
AL
05
—
119649
—
AL
05
—
119650
—
AL
01
—
P00894311
RAILROAD MEDICARE
AL
Enumeration date
05/02/2007
Last updated
07/21/2022
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