MR. JOHNNIE RAY BROOKS PA-C
NPI 1063436848
Physician Assistant - Surgical in Jacksonville, FL

Active since July 26, 2006
1503 OAK ST, JACKSONVILLE, FL 32204(904) 634-0640 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Johnnie Ray Brooks Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHNNIE RAY BROOKS PA-C (NPI 1063436848) is an individual surgical provider in Jacksonville, Florida, licensed in Florida (PA 9103751) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1063436848
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. JOHNNIE RAY BROOKSCredential: PA-C
Location Address1503 OAK STJacksonville, FL 32204-3910
Mailing Address7305 Purple Avens AveUpper Marlboro, MD 20772-6327 · (301) 599-0787 · Fax (301) 599-6808
Sole ProprietorYes
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1063436848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in FL · PA 9103751
1503 OAK ST, Jacksonville, FL 32204

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1503 OAK ST
JACKSONVILLE, FL 32204
Internal Medicine
1503 OAK ST
JACKSONVILLE, FL 32204
Physical Therapist
1503 OAK ST
JACKSONVILLE, FL 32204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnnie Brooks's NPI number?

The NPI number for Johnnie Brooks is 1063436848. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Johnnie Brooks located?

Johnnie Brooks practices at 1503 Oak St, Jacksonville, FL 32204. The listed phone number is (904) 634-0640.

What is Johnnie Brooks's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Johnnie Brooks was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.