Provider Demographics
NPI:1134284177
Name:BROOKS, FRANCIS W (DO)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:W
Last Name:BROOKS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:364 GOLDEN GATE DR
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:PA
Mailing Address - Zip Code:15147-2610
Mailing Address - Country:US
Mailing Address - Phone:407-446-5701
Mailing Address - Fax:
Practice Address - Street 1:364 GOLDEN GATE DR
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:PA
Practice Address - Zip Code:15147-2610
Practice Address - Country:US
Practice Address - Phone:407-446-5701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS005230L208VP0000X, 207Q00000X
FLOS004539204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAOS005230LOtherPA MEDICAL LICENSE
FLOS4539OtherFLORIDA MEDICAL LICENSE
PAOS005230LOtherPA MEDICAL LICENSE
FL82517ZMedicare ID - Type UnspecifiedMEDICARE