DR. BONNIE JEAN BROOKS (M.D.) – Internal Medicine Physician, NPI 1104892876

DR. BONNIE JEAN BROOKS (M.D.) is a healthcare provider. based in Newport news, Virginia. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 0101245687 (VA). The NPI Number for DR. BONNIE JEAN BROOKS (M.D.) is 1104892876

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. BONNIE JEAN BROOKS (M.D.)
NPI
1104892876
Phone
(757) 594-1803
Address
11803 Jefferson Ave
Enumeration Date
23 February 2006
Last Update Date
24 September 2024

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
5718008915
Graduation Year
1993 (33 years ago)
PAC ID
1759385347
Group Practice PAC ID
8921903923
Professional Enrollment ID
I20250731003493
Address ID
VA220792124LO9500XHWYX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,930 INTERNAL MEDICINE in VA

Provider Addresses for DR. BONNIE JEAN BROOKS (M.D.)

  • 11803 Jefferson Ave

    Ste 140

    Newport News, VA 236062565

    Phone: (757) 594-1803

    Fax: (757) 594-1828

    Type: Location

  • Sentara Port Warwick, 11803, Jefferson Avenue, Port Warwick, Newport News, Newport News City, Virginia, 23606, United States

    STE 140

    NEWPORT NEWS, VA 236062565

    Phone: (757) 594-1803

    Fax: (757) 594-1828

    Type: Mailing

  • 9500 RICHMOND HIGHWAY

    SENTARA FAMILY MEDICINE PHYSICIANS

    LORTON, VA 220792124

    Phone: (571) 800-8915

    Fax: (833) 954-5512

    Type: Location

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: 2025-07-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20090813000830IInternal MedicineVATBD
I20250731003493IInternal MedicineDCTBD

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 23606)

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Provider's Procedures

DR. BONNIE JEAN BROOKS (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEVA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report8180

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: 8921903923View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineVA
Nurse PractitionerVA
-MI
-VA
-VA
Pulmonary Disease, Internal MedicineGA
N E U R O L O G YVA
Physician AssistantVA
-VA
Family PracticeVA

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Frequently asked questions

How do I look up DR. BONNIE JEAN BROOKS (M.D.) by NPI?
Use NPI 1104892876 when you need to reference DR. BONNIE JEAN BROOKS (M.D.) in forms, claims, or directories.
Is DR. BONNIE JEAN BROOKS (M.D.)'s NPI currently valid?
The extract we use shows DR. BONNIE JEAN BROOKS (M.D.) as active.
What does DR. BONNIE JEAN BROOKS (M.D.) treat or focus on?
Patients typically see DR. BONNIE JEAN BROOKS (M.D.) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. BONNIE JEAN BROOKS (M.D.)?
We surface Newport News, Virginia for DR. BONNIE JEAN BROOKS (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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