- Practice location
- 2084 NE Professional CT, Bend, OR 97701-6077
- Phone
- 541-383-3005
- Fax
- 541-383-1883
- Last updated
- July 17, 2026
Brooks W Booker IV, MD is a Pediatrics based in Bend, OR. Brooks W Booker IV, MD holds the professional credentials of MD. The NPI number for Brooks W Booker IV, MD is 1376558429 and holds license No. MD167654 (OR). The current practice location address is 2084 NE Professional CT, Bend, OR 97701-6077 and the office can be reached by phone at 541-383-3005 and by fax at 541-383-1883. The NPI was assigned on July 29, 2006 and the record was last updated in NPPES on July 17, 2026.
●Provider Profile Details
- NPI Number
- 1376558429
- Provider Name
- Brooks W Booker
- Credential
- MD
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Enumeration Date
- July 29, 2006
- Last Update Date
- July 17, 2026
- Certification Date
- July 17, 2026
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 2084 NE Professional CT
Bend, OR 97701-6077 - City
- Bend
- State
- Oregon
- ZIP
- 97701-6077
- Country
- US
- Phone Number
- 541-383-3005
- Fax Number
- 541-383-1883
✉Business Mailing Address
- Address
- Po Box 4228
Portland, OR 97208-4228 - City
- Portland
- State
- OR
- ZIP
- 97208-4228
- Phone Number
- 541-617-5369
- Fax Number
- 541-323-3866
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Pediatrics | 208000000X | Yes | MD167654 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Bend →?Frequently Asked Questions
What is the NPI number of Brooks W Booker IV, MD?
The NPI number of Brooks W Booker IV, MD is 1376558429. It was assigned on July 29, 2006 and is currently active in the NPPES registry.
What is the specialty of Brooks W Booker IV, MD?
Brooks W Booker IV, MD is registered under the primary taxonomy Pediatrics (code 208000000X) and holds license No. MD167654 (OR).
Where does Brooks W Booker IV, MD practice?
The practice location is 2084 NE Professional CT, Bend, OR 97701-6077. The office can be reached at 541-383-3005 (phone) or 541-383-1883 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376558429 directly on the NPPES registry website at npiregistry.cms.hhs.gov.