Healthcare Provider Details

I. General information

NPI: 1952355620
Provider Name (Legal Business Name): MICHAEL E. BROOKINGS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

851 STATLER BLVD
STAUNTON VA
24401-4894
US

IV. Provider business mailing address

PO BOX 388
FISHERSVILLE VA
22939-0388
US

V. Phone/Fax

Practice location:
  • Phone: 540-245-7470
  • Fax: 540-245-7471
Mailing address:
  • Phone: 540-932-5687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0101048030
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: