Provider Demographics
NPI:1952115172
Name:BROOKS, LUKE PIERSON (PA-C)
Entity type:Individual
Prefix:MR
First Name:LUKE
Middle Name:PIERSON
Last Name:BROOKS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 BROOKFIELD DR
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:NC
Mailing Address - Zip Code:28372-8635
Mailing Address - Country:US
Mailing Address - Phone:910-734-1871
Mailing Address - Fax:910-276-7877
Practice Address - Street 1:101 PLAZA RD
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-6001
Practice Address - Country:US
Practice Address - Phone:910-276-6767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-06
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant