Subject Numbers Regarding Health Provider Authorizations

Authorization No. 156876-5W

August 21, 2013

Pursuant to Workers' Compensation Law Section 13-d(5), the Chair of the New York State Workers' Compensation Board has exercised his authority to revoke Dr. Glen Brooks' authorization to treat injured workers within the New York State workers' compensation system effective August 19, 2013. Dr. Brooks' last known business address is 333 East 49th Street, Suite LD, New York, NY 10017.

The revocation is based upon Consent Order (BPMC No. 12-110), issued by the New York State Department of Health, State Board for Professional Medical Conduct (BPMC), effective May 31, 2012. In that Consent Agreement and Order, Dr. Brooks asserted that he could not successfully defend at least one of the specifications contained in the Statement of Charges, which set forth allegations pertaining to failure to maintain accurate patient records and making a false report.

The professional misconduct yielded the following penalty: censure and reprimand with probation and a $10,000 fine.

Dr. Brooks had his authorization to treat injured workers temporarily suspended by the Board on July 24, 2012.

Dr. Brooks is prohibited from rendering treatment and care to injured workers. Reports submitted by Dr. Brooks for services rendered prior to July 24, 2012, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Brooks for services rendered prior to July 24, 2012, should not be denied due to the temporary suspension and subsequent revocation of his authorization.

Any questions regarding the authorized lists should be referred to the Medical Director's Office at 1 (800) 781-2362.