NPI 1073604435 · live from the CMS NPI Registry
Kenneth M Brooks, MD
Internal Medicine, Cardiovascular Disease in Fairfax, VA. National Provider Identifier 1073604435, active.
NPI record
| NPI | 1073604435 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 3023 Hamaker Ct, Suite 100, Fairfax, VA 22031 |
| Practice phone | 703-641-9161 |
| Enumerated | September 28, 2006 |
| Last updated | December 26, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | 0101035361 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.