Deangelo Brooks, is a
Military Health Care Provider based in Shreveport, Louisiana. Deangelo Brooks is licensed to practice in * (Not Available) (license number ) and his current practice location is
1105 Island Park Blvd Apt 1126, Shreveport, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(318) 404-7134.
NPI number for Deangelo Brooks is 1114495603 and his current mailing address is 5720 S Lakeshore Dr Apt 605, Shreveport, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114495603.
Healthcare Provider's Profile
Full Name | Deangelo Brooks |
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Gender | Male |
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Speciality | Military Health Care Provider |
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Location | 1105 Island Park Blvd Apt 1126, Shreveport, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114495603
- Provider Enumeration Date: 11/02/2018
- Last Update Date: 09/22/2020
Medical Identifiers
Medical identifiers for Deangelo Brooks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114495603 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171000000X | Military Health Care Provider | (* (Not Available)) | 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. Deangelo Brooks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Deangelo Brooks, 5720 S Lakeshore Dr Apt 605, Shreveport, LA 71119-3930 Ph: (318) 404-7134 | Deangelo Brooks, 1105 Island Park Blvd Apt 1126, Shreveport, LA 71105-4783 Ph: (318) 404-7134 |
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