1568566339 NPI number — BIO-MEDICAL APPLICATIONS OF DELAWARE, INC.

Table of content: DR. JEFFREY SCOTT BROOKS DPM (NPI 1962418277)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568566339 NPI number — BIO-MEDICAL APPLICATIONS OF DELAWARE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BIO-MEDICAL APPLICATIONS OF DELAWARE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568566339
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/13/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
608 FERRY CUT OFF ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HISTORIC NEW CASTLE
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19720-4549
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
302-328-9044
Provider Business Mailing Address Fax Number:
302-328-6520

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
608 FERRY CUT OFF ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HISTORIC NEW CASTLE
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19720-4549
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-328-9044
Provider Business Practice Location Address Fax Number:
302-328-6520
Provider Enumeration Date:
09/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BLANTON
Authorized Official First Name:
BARRY
Authorized Official Middle Name:
L.
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
781-699-9000

Provider Taxonomy Codes

  • Taxonomy code: 261QE0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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