Randel Brooks, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Midvale, Utah. His current practice location is
1023 Soho Dr, Midvale, Utah. You can reach out to his office (for appointments etc.) via phone at
(202) 841-6837.
Randel Brooks is licensed to practice in California (license number 95001486) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114528015.
Provider's Profile
Full Name | Randel Brooks |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 1023 Soho Dr, Midvale, Utah |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Randel Brooks attended and graduated from in
NPI Data:
- NPI Number: 1114528015
- Provider Enumeration Date: 11/06/2020
- Last Update Date: 09/27/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Randel Brooks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114528015 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WC0200X | Registered Nurse - Critical Care Medicine | 95167168 (California) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | D175480 (Iowa) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 95001486 (California) | 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. Randel Brooks is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Randel Brooks, CRNA 1023 Soho Dr, Midvale, UT 84047-4770 Ph: (202) 841-6837 | Randel Brooks, CRNA 1023 Soho Dr, Midvale, UT 84047-4770 Ph: (202) 841-6837 |
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