National Provider Identifier

Bradley Justin Brooks, RN

Bradley Justin Brooks, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Holley, NY and a listed phone number of (585) 414-8637.

NPI 1154676716Holley, NYRegistered Nurse

Profile Overview

NPI
1154676716
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
July 19, 2012
Last Updated
July 19, 2012

Practice Location

  • 34 Orchard St
  • Holley, NY 14470-1060

Phone: (585) 414-8637

Specialties

  • Registered Nurse (163W00000X)
  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1154676716
Entity Type
Individual
Last Name
Brooks
First Name
Bradley
Middle Name
Justin
Credential
RN
Mailing Street Address
34 Orchard St
Mailing City
Holley
Mailing State
NY
Mailing ZIP Code
14470-1060
Mailing Country
US
Mailing Phone
(585) 414-8637
Practice Street Address
34 Orchard St
Practice City
Holley
Practice State
NY
Practice ZIP Code
14470-1060
Practice Country
US
Practice Phone
(585) 414-8637
Enumeration Date
July 19, 2012
Last Updated
July 19, 2012
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X), Licensed Practical Nurse (164W00000X)