Provider Demographics
NPI:1407167703
Name:BROOKS, ADAM GUY (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:GUY
Last Name:BROOKS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3240 LONE TREE WAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-5559
Mailing Address - Country:US
Mailing Address - Phone:925-754-5254
Mailing Address - Fax:925-754-5286
Practice Address - Street 1:3240 LONE TREE WAY
Practice Address - Street 2:SUITE 200
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-5559
Practice Address - Country:US
Practice Address - Phone:925-754-5254
Practice Address - Fax:925-754-5286
Is Sole Proprietor?:No
Enumeration Date:2010-07-01
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA119135207XX0005X, 207X00000X, 207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery