Brooks Lyon & Brooks DO PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101005511 Issued in MI

Legal business name

BROOKS LYON & BROOKS DO PC

Practice address

309 Ecorse Rd
Ypsilanti, MI 48198-5733

Phone

(734) 484-0580

Fax

(734) 484-6410

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Candy L Ebeler

Title

Office Manager

Phone

(734) 484-0580

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1164510574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 ECORSE RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481985733",
            "telephone_number": "734-484-0580",
            "fax_number": "734-484-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 ECORSE RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481985733",
            "telephone_number": "734-484-0580",
            "fax_number": "734-484-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS LYON & BROOKS DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "EBELER",
        "authorized_official_first_name": "CANDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "734-484-0580"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101005511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Lee Marie Brito, M.S. LLPC
• Lydia Jordan Brock, DO
• Isaiah Brockschmidt
• Jason A Brodkey, MD
• Kelsey Brodowicz, OTR
• Kaitlyn Colleen Brooks, BEHAVIOR TECHNICIAN
• Robert David Brooks, D.O.
• Beth Louise Broom
• Nancy Lynn Brosamer, MSW
• Montgomery Clayton Brower, M.D.

• Family Medicine Physician in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.