MEDICARE: CRAIG L BROOKS M.D.

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	207P00000X	Emergency Medicine Physician	102578	WI
2	207P00000X	Emergency Medicine Physician	54111	AZ
3	207P00000X	Emergency Medicine Physician	24899	CO

General Provider Information

NPI Number	:	1184885758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRAIG L BROOKS M.D.

Provider Business Mailing Address
First Line	:	3022 CASTLE BUTTE DR
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80109-9675
Country	:	US
Telephone Number	:	303-681-3167
Fax Number	:

Provider Business Practice Location Address
First Line	:	3022 CASTLE BUTTE DR
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80109-9675
Country	:	US
Telephone Number	:	303-681-3167
Fax Number	:

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

Provider Enumeration Date	:	06/17/2008
Last Update Date	:	04/01/2025

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