Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | A119135 | CA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | A119135 | CA |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | A119135 | CA |
NPI | 1407167703 |
---|---|
Provider Name | Dr. Adam Guy Brooks |
First Address | Antioch, CA 94509-5559 |
Second Address | Antioch, CA 94509-5559 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2010 |
Last Update Date | 30/08/2016 |