Individual provider · Type 1 NPI
Justin Ryan Brooks, MD, PhD
General Practice Physician · White Marsh, MD
NPI number
1104168590
Active
Practice location
11500 Lipscomb Way
White Marsh, MD 21162
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician | 208D00000X | 0101256800 (VA) |
| General Practice Physician Primary | 208D00000X | D0078268 (MD) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1104168590
Justin Ryan Brooks, MD, PhD's National Provider Identifier is 1104168590, issued on Mar 23, 2013. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in White Marsh, MD. The record was last updated on Sep 7, 2022.