Brookside Family Medicine Inc

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

118396 Issued in MO

Legal business name

BROOKSIDE FAMILY MEDICINE INC

Practice address

7130 Wornall Rd
Kansas City, MO 64114-1344

Phone

(816) 523-9355

Fax

(816) 523-9358

NPI assigned

Apr 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Anne Kisner

Title

Practice Administrator

Phone

(816) 523-9355

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BDCGAA

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053539874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 WORNALL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641141344",
            "telephone_number": "816-523-9355",
            "fax_number": "816-523-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 WORNALL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641141344",
            "telephone_number": "816-523-9355",
            "fax_number": "816-523-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSIDE FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KISNER",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "816-523-9355",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MO",
            "license": "118396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew William Brooks, M.D.
• Patricia Marie Brooks
• Stephanie Brooks, MSN, CPNP-AC, CCRN
• Amy Davis Brookshire, APRN
• Brookside Adult Day Health Care, LLC
• Brookside Health Services, Inc.
• Deborah A Brookstein, LSCSW LCSW
• Jena Marie Brophy
• Amy Elaine Brose, MD
• Catherine I Brouse, APRN

• Hospice and Palliative Medicine (Family Medicine) Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.