MEDICARE: DR. JACKIE KEVIN 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	207X00000X	Orthopaedic Surgery Physician	052148	GA
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	052148	GA

General Provider Information

NPI Number	:	1366430233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JACKIE KEVIN BROOKS M.D.

Provider Business Mailing Address
First Line	:	3231 GLYNN AVE
Second Line	:
City	:	BRUNSWICK
State	:	GA
Zip	:	31520-4851
Country	:	US
Telephone Number	:	912-265-9006
Fax Number	:	912-265-7200

Provider Business Practice Location Address
First Line	:	3231 GLYNN AVE
Second Line	:
City	:	BRUNSWICK
State	:	GA
Zip	:	31520-4851
Country	:	US
Telephone Number	:	912-265-9006
Fax Number	:	912-265-7200

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

Provider Enumeration Date	:	10/13/2005
Last Update Date	:	08/09/2007

Similar Medicare Providers

1841297017 — BRIAN C BOYD PT
Practice Location Address:

3231 GLYNN AVE
BRUNSWICK, GA
31520-4851

Practice Phone: 912-265-9006
Practice Fax: 912-265-7200

1225023021 — ARC OF GEORGIA, LLC
Practice Location Address:

3243 GLYNN AVE
BRUNSWICK, GA
31520-4851

Practice Phone: 912-264-9029
Practice Fax: 912-264-1085

1790773703 — RALPH W MORALES DO
Practice Location Address:

3231 GLYNN AVE
BRUNSWICK, GA
31520-4851

Practice Phone: 912-265-9006
Practice Fax: 912-265-7200

1144218157 — DR. MICHAEL J DUNN M.D.
Practice Location Address:

3231 GLYNN AVE
BRUNSWICK, GA
31520-4851

Practice Phone: 912-265-9006
Practice Fax: 912-265-7200

1467493999 — DR. THOMAS E. RUNYAN MD
Practice Location Address:

3221 GLYNN AVE
BRUNSWICK, GA
31520-4851

Practice Phone: 912-466-9111
Practice Fax: 912-466-0366

1780620211 — RAYMOND F TOPP MD
Practice Location Address:

3231 GLYNN AVE
BRUNSWICK, GA
31520-4851

Practice Phone: 912-265-9006
Practice Fax: 912-554-3636

Directions to “ DR. JACKIE KEVIN BROOKS M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.