Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Stephen Russell Brooks, NAVYIDC

Individual provider Technician · NPI 1780334276

Mr. Stephen Russell Brooks, NAVYIDC is a Technician in Virginia Beach, Virginia. Licensed in Virginia. Registered with an NPI since 2022.

Licensed in
VA
In the registry since
2022

Practice location Address checks out

472 Polaris St Bldg 586
Virginia Beach, VA 23461-1935
Phone: (910) 741-9612
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Technician (primary) Taxonomy 374700000X · Licence 1163448811 (VA)

Record details

NPI number1780334276
Entity typeIndividual (Type 1)
GenderMale
Credentials NAVYIDC
Sole proprietorNo
NPI enumeratedMarch 27, 2022
Last updated in NPPESMarch 27, 2022
Certification dateMarch 27, 2022

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