Provider Demographics
NPI:1588633168
Name:BROOKS, JAMES W JR (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:W
Last Name:BROOKS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7605 FOREST AVE
Mailing Address - Street 2:SUITE 410
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-4938
Mailing Address - Country:US
Mailing Address - Phone:804-285-1833
Mailing Address - Fax:804-285-5754
Practice Address - Street 1:7605 FOREST AVE
Practice Address - Street 2:SUITE 410
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-4938
Practice Address - Country:US
Practice Address - Phone:804-285-1833
Practice Address - Fax:804-285-5754
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2014-02-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101039278207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005844282Medicaid
D32832Medicare UPIN
VA005844282Medicaid
440000034Medicare ID - Type Unspecified