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THERDO BROOKS III CRT
NPI 1124490693
Radiologic Technologist in Goodyear, AZ

Active since October 23, 2015
14450 W AVALON DR, GOODYEAR, AZ 85395(602) 466-4926 Get Directions Write a Review

NPPES record last updated: October 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Therdo Brooks Iii Crt NPPES

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

THERDO BROOKS III CRT (NPI 1124490693) is an individual radiologic technologist in Goodyear, Arizona, licensed in Arizona (18024) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1124490693
Entity TypeIndividualMale
Primary Taxonomy247100000X
Provider Legal NameTHERDO BROOKS IIICredential: CRT
Location Address14450 W AVALON DRGoodyear, AZ 85395-8315
Mailing Address14450 W Avalon DrGoodyear, AZ 85395-8315 · (602) 466-4926
Phone(602) 466-4926
Sole ProprietorNo
Enumeration DateOctober 23, 2015
✔ NPI 1124490693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247100000X
License✔ Licensed in AZ · 18024
Definition
A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
14450 W AVALON DR, Goodyear, AZ 85395
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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 Therdo Brooks's NPI number?

The NPI number for Therdo Brooks is 1124490693. It was assigned to this individual provider in the NPPES registry on October 23, 2015.

Where is Therdo Brooks located?

Therdo Brooks practices at 14450 W Avalon Dr, Goodyear, AZ 85395. The listed phone number is (602) 466-4926.

What is Therdo Brooks's specialty?

The primary specialty registered for this NPI is Radiologic Technologist with taxonomy code 247100000X.

When was this NPI record last updated?

The NPPES record for Therdo Brooks was last updated on October 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.