Brookdale Medical Associates Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00031125 Issued in WA

Legal business name

BROOKDALE MEDICAL ASSOCIATES INC

Practice address

205 117TH St S
Tacoma, WA 98444-5409

Phone

(253) 535-5552

Fax

(253) 535-5684

NPI assigned

May 14, 2008

Last updated

Aug 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chong C Kim, MD

Title

Owner

Phone

(253) 535-5552

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1073780532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 117TH ST S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984445409",
            "telephone_number": "253-535-5552",
            "fax_number": "253-535-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 117TH ST S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984445409",
            "telephone_number": "253-535-5552",
            "fax_number": "253-535-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKDALE MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHONG",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-535-5552",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00031125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1084490",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher C Brodkin, MD
• Sterling Levie Brodniak, D.O.
• Justin Brodt, CCC-SLP
• Ronald Lee Broekemeier, R.PH
• Richard McGilvory Broeker, D.C.
• Brookdale Senior Living Communities, Inc. (Wynwood of Allenmore)
• Melissa Lila Brooke, CRNA, RN
• Sarah Brooke, RPH
• Kimberly Thayer Brooker, MD
• Julie Peerboom Brookreson, ARNP

• Internal Medicine Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.