Healthcare Provider Details

I. General information

NPI: 1376425751
Provider Name (Legal Business Name): CHRISTOPHER BROOKS ADV. PRAC. PARAMEDIC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2025
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2410 E ROUTE 66 # 1023
FLAGSTAFF AZ
86004-5007
US

IV. Provider business mailing address

2410 E ROUTE 66 # 1023
FLAGSTAFF AZ
86004-5007
US

V. Phone/Fax

Practice location:
  • Phone: 808-217-1830
  • Fax:
Mailing address:
  • Phone: 808-217-1830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberP010123
License Number StateNC
# 4
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberAZ00017672
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: