Active NPIIndividual provider

Blake E Brooks, MD

Dermatology in Fairfield, Connecticut

NPI Number1407340888
Practice location
1305 Post RD Ste 310, Fairfield, CT 06824-6016
Fax
203-255-3585
Last updated
November 5, 2024

Blake Elizabeth Brooks is a Dermatology based in Fairfield, CT. Blake Elizabeth Brooks practices in Fairfield, CT and has the professional credentials of MD. The NPI Number for Blake Elizabeth Brooks is 1407340888 and holds a License No. 79510 (CT). The current practice location address for Blake Elizabeth Brooks is 1305 Post RD Ste 310, Fairfield, CT 06824-6016 and can be reached out via phone at 203-259-7709 and via fax at 203-255-3585.

Provider Profile Details

NPI Number
1407340888
Provider Name
Blake Elizabeth Brooks
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1305 Post RD Ste 310, Fairfield, CT 06824-6016
Phone Number
203-259-7709
Fax Number
203-255-3585
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
No
Other Names
Blake Elizabeth Friedman, MD (Former Name)
Provider Enumeration Date
June 19, 2018
Last Update Date
November 5, 2024
Certification Date
November 5, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1305 Post RD Ste 310
Fairfield, CT 06824-6016
Zip
06824-6016
Phone Number
203-259-7709
Fax Number
203-255-3585
Fairfield, CT 06824Get directions →

Provider Business Mailing Address Details

Address
40 Cardinal RD
Weston, CT 06883-2405
City
Weston
State
CT
Zip
06883-2405
Phone Number
203-856-8644

License Information

License Number
79510
License State
CT
Taxonomy
Dermatology · 207N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Blake E Brooks, MD?

The NPI number of Blake E Brooks, MD is 1407340888. It was assigned on June 19, 2018 and is currently active in the NPPES registry.

What is the specialty of Blake E Brooks, MD?

Blake E Brooks, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in CT under license number 79510.

Where does Blake E Brooks, MD practice?

The practice location is 1305 Post RD Ste 310, Fairfield, CT 06824-6016. The office can be reached at 203-259-7709 (phone) or 203-255-3585 (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 1407340888 directly on the NPPES registry website.

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