JUSTIN R. BROOKS M.D., PH.D. – NPI #1104168590
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

JUSTIN BROOKS is a physician located in WHITE MARSH, MD. NPPES has assigned the NPI number 1104168590 to JUSTIN BROOKS on March 23, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 4 years ago on Sep 07, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JUSTIN BROOKS below.

NPI Profile for
JUSTIN R. BROOKS

NPI Number
1104168590
Enumeration Date

(more than 13 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JUSTIN R. BROOKS
Credentials
M.D., PH.D.
Primary location
11500 LIPSCOMB WAY
WHITE MARSH, MD 21162
Phone: (757) 581-1363 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Sep 07, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
VA 0101256800

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.