Provider Demographics
NPI:1376425751
Name:BROOKS, CHRISTOPHER (ADV PRAC PARAMEDIC)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:BROOKS
Suffix:
Gender:M
Credentials:ADV PRAC PARAMEDIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2410 E ROUTE 66 # 1023
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86004-5007
Mailing Address - Country:US
Mailing Address - Phone:808-217-1830
Mailing Address - Fax:
Practice Address - Street 1:2410 E ROUTE 66 # 1023
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86004-5007
Practice Address - Country:US
Practice Address - Phone:808-217-1830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-24
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI101YP1600X
171400000X
NCP010123146L00000X
AZAZ00017672146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No171400000XOther Service ProvidersHealth & Wellness Coach