Homer E. Brooks
Family Doctor - Geriatric Medicine
4802e Johnson Ave
Jonesboro
, Arkansas 72401-8413
Homer E. Brooks
Family Doctor - Geriatric Medicine
4802e Johnson Ave
Jonesboro
, Arkansas 72401-8413
(870) 934-3636
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Homer E. Brooks
- Po Box 1960
- Jonesboro, AR
- Zip : 72403-1960
- Fax : (870) 934-3636
- Phone : (870) 936-8000
Second Address
- Homer E. Brooks
- 4802e Johnson Ave
- Jonesboro, AR
- Zip : 72401-8413
- Fax : (870) 934-3636
- Phone : (870) 936-8000
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | E0523 | AR |
National Provider Identifier
| NPI | 1154397537 |
|---|---|
| Provider Name | Homer E. Brooks |
| First Address | Jonesboro, AR 72403-1960 |
| Second Address | Jonesboro, AR 72401-8413 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2006 |
| Last Update Date | 30/12/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 127365001 | (05) | AR |
| F62840 | (02) | AR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.