WESLEY BROOKS (PA-C) – Physician Assistant, NPI 1710042015

WESLEY BROOKS (PA-C) is a healthcare provider. based in Braintree, Massachusetts. specializing in Physician Assistant. They hold the professional credentials PA-C. The NPI Number for WESLEY BROOKS (PA-C) is 1710042015

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
WESLEY BROOKS (PA-C)
NPI
1710042015
Phone
(781) 654-7111
Address
111 GROSSMAN DR
Enumeration Date
27 December 2006
Last Update Date
29 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6174211000
Graduation Year
1983 (43 years ago)
PAC ID
4981720208
Group Practice PAC ID
4789588641
Professional Enrollment ID
I20100923001396

Contacts

Secure Messaging
ebrooksmd203458@direct.atrius.masshiway.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:19State licenses:0Other namesUpdated within 12 months

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Provider Addresses for WESLEY BROOKS (PA-C)

  • 111, Grossman Drive, The Marketplace at Braintree, Braintree, Norfolk County, Massachusetts, 02184, United States

    BRAINTREE, MA 021844997

    Phone: (781) 654-7111

    Fax: (781) 849-2452

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100923001396IPhysician AssistantMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02184)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789588641View full group profile
NameSpecialtyState
-MA
Family PracticeMA
D E R M A T O L O G YMA
Emergency MedicineMA
Internal Medicine, Cardiovascular Disease (Cardiology)MA
-MA
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
Internal MedicineMA
O T O L A R Y N G O L O G YMA

Reviews

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Frequently asked questions

What NPI should I save for WESLEY BROOKS (PA-C)?
Save NPI 1710042015 if you need a stable reference for WESLEY BROOKS (PA-C).
Is WESLEY BROOKS (PA-C)'s NPI currently valid?
The extract we use shows WESLEY BROOKS (PA-C) as active.
What kind of provider is WESLEY BROOKS (PA-C)?
The page reflects Physician Assistant for WESLEY BROOKS (PA-C). Clinical services aligned with this taxonomy classification.
Where is WESLEY BROOKS (PA-C)'s primary listing?
We display Braintree, Massachusetts because that is what the record indicates for WESLEY BROOKS (PA-C).
How can I contact WESLEY BROOKS (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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