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NPI Code Detail

MEDICARE: ELLIOTT JAMES BROOKS

MEDICARE:   ELLIOTT JAMES BROOKS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1003774852
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLIOTT JAMES BROOKS
Provider Business Mailing Address
First Line : 1206 BARNABY TER SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20032-4303
Country : US
Telephone Number : 240-808-3057
Fax Number : 240-808-3057
Provider Business Practice Location Address
First Line : 1206 BARNABY TER SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20032-4303
Country : US
Telephone Number : 240-808-3057
Fax Number : 240-808-3057
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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