Provider Demographics
NPI:1972890630
Name:H. WARD BROOKS, M.D. APC
Entity type:Organization
Organization Name:H. WARD BROOKS, M.D. APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:H,
Authorized Official - Middle Name:WARD
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-728-5851
Mailing Address - Street 1:521 E ELDER ST
Mailing Address - Street 2:#105
Mailing Address - City:FALLBROOK
Mailing Address - State:CA
Mailing Address - Zip Code:92028-3081
Mailing Address - Country:US
Mailing Address - Phone:760-728-5851
Mailing Address - Fax:760-728-0703
Practice Address - Street 1:521 E ELDER ST
Practice Address - Street 2:#105
Practice Address - City:FALLBROOK
Practice Address - State:CA
Practice Address - Zip Code:92028-3081
Practice Address - Country:US
Practice Address - Phone:760-728-5851
Practice Address - Fax:760-728-0703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-01
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG38991207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty