Brooks & Pottinger, M.D., P.A.

LBN: Brooks & Pottinger, M.D., P.A.
Brooks & Pottinger, M.D., P.A. is an health care organization with primary practice located at 850 W Plymouth Avenue , Deland FL 32720. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Other Service Providers / Specialist is the primary health care specialty. Brooks & Pottinger, M.D., P.A. can be contacted via phone (386) 736-6110, or through Brooks, Jeffrey B via phone (386) 736-6110.

Contact Information

Primary practice address
850 W Plymouth Avenue Deland FL 32720
Phone: (386) 736-6110
Fax: (386) 736-7998
Website:
Map and Directions
Authorized official contact:
Name: Brooks, Jeffrey B Doctor of Medicine (MD)
Phone: (386) 736-6110

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0026840 Florida
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME103639 Florida
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 1053372 Florida

Profile Details

NPI number 1457363160
LBN Legal business name Brooks & Pottinger, M.D., P.A.
DBA Doing business as
Authorized official Brooks, Jeffrey B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2006
Last updated Sep 2nd, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457363160 NPPES
Florida MEDICAID 253359600

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