Individual ProviderCharles D BrooksNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1725-B Oregon Pike, Ste 206, Lancaster, PA 17601-4298(717) 675-8211PECOS EnrollmentBased on the most recent information from CMS, provider Charles D Brooks does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1114537966Provider TypeIndividualFull NameBrooks, Charles DCredentialCRNPGenderMaleSole ProprietorNoEnumeration Date8/6/2020Last Updated9/15/2024Contact InformationPractice LocationPractice Address1725-B Oregon Pike, Ste 206, Lancaster, PA 17601-4298Phone(717) 675-8211FaxUnlisted FaxMailing LocationMailing Address1725-B Oregon Pike, Ste 206, Lancaster, PA 17601-4298Phone(717) 675-8211FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseSP022325Pennsylvania