Brooke Lynette Manocchio, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34011470 Issued in OH

Practice address

6661 Clyo Rd
Centerville, OH 45459-2702

Phone

(937) 425-4000

Fax

(937) 425-4002

NPI assigned

Nov 22, 2011

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alliance Physicians Inc

  • Family Medicine Physician
  • Kettering, OH
  • NPI 1437125572

  Family Medicine, OH

  Medicare reassignment NPD
• Alliance Physicians, Inc.

  • Surgery Physician
  • Xenia, OH
  • NPI 1902220437
  NPD
• Alliance Physicians, Inc.

  • Family Medicine Physician
  • Xenia, OH
  • NPI 1144577115

  Family Medicine

  NPD (past)

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/237/brand/1/csg/41/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 15, 2025.

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1104193945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESTIGE PL",
            "address_2": "SUITE 550",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423794",
            "telephone_number": "937-762-1305",
            "fax_number": "937-522-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6661 CLYO RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592702",
            "telephone_number": "937-425-4000",
            "fax_number": "937-425-4002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 N Main St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Springboro",
            "state": "OH",
            "postal_code": "450662100",
            "country_code": "US",
            "telephone_number": "937-762-5500",
            "fax_number": "937-762-5099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANOCCHIO",
        "first_name": "BROOKE",
        "middle_name": "LYNETTE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-22",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "58.004216",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34011470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112512",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmanocchio461428@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "6661 Clyo Rd",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454592702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "6661 Clyo Rd",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454592702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Linne Mackenzie, D.O.
• Magnolia Centerville LLC
• Benjamin Daniel Malcolm, FNP
• Brooke Malott, OTD
• Rebecca Manning
• Gwen Manuel
• Valerie Jeanne Marcotte, M.A., CCC-A
• Melissa J Markham, LISW
• Beatrice Marks
• Maria Luisa Marques de Sousa

• All providers in Centerville, OH
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.