Provider Demographics
NPI:1255480109
Name:BROOKS AND ASSOCIATES GASTROENTEROLOGY CONSULTANTS, PA
Entity Type:Organization
Organization Name:BROOKS AND ASSOCIATES GASTROENTEROLOGY CONSULTANTS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:L
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-248-8008
Mailing Address - Street 1:6850 HILLTOP RD
Mailing Address - Street 2:SUITE 170
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66226-3532
Mailing Address - Country:US
Mailing Address - Phone:913-248-8008
Mailing Address - Fax:913-248-8668
Practice Address - Street 1:6850 HILLTOP RD
Practice Address - Street 2:SUITE 170
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66226-3532
Practice Address - Country:US
Practice Address - Phone:913-248-8008
Practice Address - Fax:913-248-8668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty