Dr. S. a. Brooks, DPM

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

016004697 Issued in IL

Legal business name

DR. S. A. BROOKS, DPM

Practice address

6464 W Main St
Suite 7a
Belleville, IL 62223-3811

Phone

(618) 293-1785

NPI assigned

Mar 11, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Shron Brooks, DPM

Title

Sole Podiatrist

Phone

(618) 293-1785

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1154747400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6464 W MAIN ST",
            "address_2": "SUITE 7A",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622233811",
            "telephone_number": "618-293-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6464 W MAIN ST",
            "address_2": "SUITE 7A",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622233811",
            "telephone_number": "618-293-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. S. A. BROOKS, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "SHRON",
        "authorized_official_title_or_position": "SOLE PODIATRIST",
        "authorized_official_telephone_number": "618-293-1785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "IL",
            "license": "016004697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatric Clinic/Center in Belleville, IL
• Providers in Belleville, IL by specialty
• Podiatric Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.