Healthcare Provider Details

I. General information

NPI: 1063527919
Provider Name (Legal Business Name): TRACY BROOKINGS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 08/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4730 BELL HILL RD
BESSEMER AL
35022-6947
US

IV. Provider business mailing address

4730 BELL HILL RD
BESSEMER AL
35022-6947
US

V. Phone/Fax

Practice location:
  • Phone: 205-426-3010
  • Fax: 205-481-9034
Mailing address:
  • Phone: 205-426-3010
  • Fax: 205-481-9034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number26653
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: