Provider Demographics
NPI:1144214701
Name:BROOKS, SONYA F (MD)
Entity Type:Individual
Prefix:DR
First Name:SONYA
Middle Name:F
Last Name:BROOKS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SONYA
Other - Middle Name:F
Other - Last Name:BROOKS-SHUTES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3443 DICKERSON PIKE
Mailing Address - Street 2:SUITE 580
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-2519
Mailing Address - Country:US
Mailing Address - Phone:615-860-1040
Mailing Address - Fax:615-769-7283
Practice Address - Street 1:3443 DICKERSON PIKE
Practice Address - Street 2:SUITE 580
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2519
Practice Address - Country:US
Practice Address - Phone:615-860-1040
Practice Address - Fax:615-769-7283
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD00000369232084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP00203257OtherRR MEDICARE
TN3881498Medicaid
TNH80250Medicare UPIN
TN3881498Medicare ID - Type Unspecified