Dr Justin Ryan Brooks, MD, PHD is a
General Practice physician based in White Marsh, Maryland. Dr Justin Ryan Brooks is licensed to practice in Maryland (license number D0078268) and his current practice location is 11500 Lipscomb Way, White Marsh, Maryland. He can be reached at his office (for appointments etc.) via phone at
(757) 581-1363.
NPI number for Dr Justin Ryan Brooks is 1104168590 and his current mailing address is 11500 Lipscomb Way, White Marsh, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104168590.
Physician's Profile
Full Name | Dr Justin Ryan Brooks |
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Gender | Male |
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Speciality | General Practice |
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Location | 11500 Lipscomb Way, White Marsh, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104168590
- Provider Enumeration Date: 03/23/2013
- Last Update Date: 09/07/2022
Medical Identifiers
Medical identifiers for Dr Justin Ryan Brooks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104168590 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 0101256800 (Virginia) | Secondary |
208D00000X | General Practice | D0078268 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Justin Ryan Brooks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Justin Ryan Brooks, MD, PHD 11500 Lipscomb Way, White Marsh, MD 21162 Ph: (757) 581-1363 | Dr Justin Ryan Brooks, MD, PHD 11500 Lipscomb Way, White Marsh, MD 21162 Ph: (757) 581-1363 |
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