Individual ProviderConnie Brooks-FernandezFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address530 Sandhurst Dr, Fayetteville, NC 28304-4426(910) 867-7777PECOS EnrollmentBased on the most recent information from CMS, provider Connie Brooks-Fernandez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1053445627Provider TypeIndividualFull NameBrooks-Fernandez, ConnieCredentialMDGenderFemaleSole ProprietorNoEnumeration Date3/15/2007Last Updated12/1/2014Contact InformationPractice LocationPractice Address530 Sandhurst Dr, Fayetteville, NC 28304-4426Phone(910) 867-7777Fax(910) 868-7778Mailing LocationMailing Address530 Sandhurst Dr, Fayetteville, NC 28304-4426Phone(910) 867-7777Fax(910) 868-7778Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense9701262North CarolinaProvider IdentifiersIDDescriptionIssuerID1232UDescriptionOtherIssuerBCBSNorth Carolina