MEDICARE: CRAIG BROOKS III

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	225100000X	Physical Therapist	CP052159T	TX
2	225100000X	Physical Therapist	15003	TN

General Provider Information

NPI Number	:	1780377531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRAIG BROOKS III

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-238-7217
Fax Number	:

Provider Business Practice Location Address
First Line	:	11620 HERO WAY W STE 120
Second Line	:
City	:	LEANDER
State	:	TX
Zip	:	78641-5976
Country	:	US
Telephone Number	:	737-292-3771
Fax Number	:

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

Provider Enumeration Date	:	05/30/2023
Last Update Date	:	01/20/2026

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Directions to “ CRAIG BROOKS III ” Practice Location

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