MEDICARE: DR. RYAN BROOKS D.O.

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
1	208100000X	Physical Medicine & Rehabilitation Physician	OS16866	FL
2	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	OS16866	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205374683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RYAN BROOKS D.O.

Provider Business Mailing Address
First Line	:	4243 NW FEDERAL HWY
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-3600
Country	:	US
Telephone Number	:	800-735-1178
Fax Number	:	772-223-6354

Provider Business Practice Location Address
First Line	:	7540 NW 5TH ST STE 1
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33317-1615
Country	:	US
Telephone Number	:	800-735-1178
Fax Number	:	772-223-6354

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2017
Last Update Date	:	05/27/2025

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Directions to “ DR. RYAN BROOKS D.O.” Practice Location

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