MEDICARE: DR. RODNEY W BROOKS MD, MBA

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	207R00000X	Internal Medicine Physician	D43636	MD

General Provider Information

NPI Number	:	1407854029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RODNEY W BROOKS MD, MBA

Provider Business Mailing Address
First Line	:	660 PENNSYLVANIA AVE SE STE 100
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20003-4354
Country	:	US
Telephone Number	:	202-546-4504
Fax Number	:	410-544-6136

Provider Business Practice Location Address
First Line	:	660 PENNSYLVANIA AVE SE STE 100
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20003-4354
Country	:	US
Telephone Number	:	202-546-4504
Fax Number	:	410-544-6136

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

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	09/22/2011

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