MEDICARE: DERICK BROOKS

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	341600000X	Ambulance
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1679262703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DERICK BROOKS

Provider Business Mailing Address
First Line	:	3401 HARTZDALE DR
Second Line	:
City	:	CAMP HILL
State	:	PA
Zip	:	17011-7200
Country	:	US
Telephone Number	:	717-542-0569
Fax Number	:

Provider Business Practice Location Address
First Line	:	3401 HARTZDALE DR
Second Line	:
City	:	CAMP HILL
State	:	PA
Zip	:	17011-7200
Country	:	US
Telephone Number	:	717-542-0569
Fax Number	:

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

Provider Enumeration Date	:	05/04/2023
Last Update Date	:	05/04/2023

Similar Medicare Providers

1568438786 — DR. UT MICHAEL KHAI TRAN O.D.
Practice Location Address:

3401 HARTZDALE DR
CAMP HILL, PA
17011-7200

Practice Phone: 717-975-0501
Practice Fax:

1366461287 — DR. DANIEL FRANCIS DUNN JR. D.M.D.
Practice Location Address:

3401 HARTZDALE DR , SUITE 122
CAMP HILL, PA
17011-7200

Practice Phone: 717-763-9553
Practice Fax:

1962411629 — APRIA HEALTHCARE LLC
Practice Location Address:

3401 HARTZDALE DR , STE 133
CAMP HILL, PA
17011-7200

Practice Phone: 717-761-4630
Practice Fax: 717-761-7120

1720180292 — DANIEL F. DUNN JR., DMD. P.C.
Practice Location Address:

3401 HARTZDALE DR , SUITE 122
CAMP HILL, PA
17011-7200

Practice Phone: 717-763-9553
Practice Fax: 717-763-7818

1730356437 — PENNSYLVANIA FRANCHISE AUTHORITY
Practice Location Address:

3401 HARTZDALE DR , SUITE 128
CAMP HILL, PA
17011-7200

Practice Phone: 717-731-5600
Practice Fax:

1538166426 — DR. PHILLIP L THORNTON R.PH, PH.D.
Practice Location Address:

7200 MATTHEWS MINT HILL RD
MINT HILL, NC
28227-7593

Practice Phone: 704-910-2718
Practice Fax: 704-910-6441

Directions to “ DERICK BROOKS ” 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.