Brooke Michelle Perlik, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

50.002657 Issued in OH

Practice address

34600 Chardon Rd Unit 7
Willoughby Hills, OH 44094-8481

Phone

(440) 602-6737

Fax

(440) 942-0316

NPI assigned

Sep 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Gma Consultants Inc

  • Addiction Medicine (Internal Medicine) Physician
  • Cleveland, OH
  • NPI 1285829135
  Medicare reassignment
• Lake Hospital System Inc

  • Family Medicine Physician
  • Middlefield, OH
  • NPI 1952339996
  Medicare reassignment
• Lake Hospital System Inc

  • Obstetrics & Gynecology Physician
  • Willoughby, OH
  • NPI 1841234762
  NPD
• Lake Hospital System, Inc

  • Urgent Care Clinic/Center
  • Chardon, OH
  • NPI 1689634966
  NPD
• Clinic Regional Physicians LLC

  • Internal Medicine Physician
  • Beachwood, OH
  • NPI 1043470453
  NPD (past)
• Lake Hospital System, Inc

  • Urgent Care Clinic/Center
  • Madison, OH
  • NPI 1134189376
  NPD (past)

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1164618302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34600 CHARDON RD UNIT 7",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440948481",
            "telephone_number": "440-602-6737",
            "fax_number": "440-942-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34600 CHARDON RD UNIT 7",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440948481",
            "telephone_number": "440-602-6737",
            "fax_number": "440-942-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLIK",
        "first_name": "BROOKE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "OH",
            "license": "50.002657RX",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.002657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071233",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Passov
• Prachi Patel
• Kate Paulic, APRN, CNP
• Sophia Ruth Mae Pearson, MSW,LSW
• Perfect Balance Massage
• Kathleen Farhang Petro, M.D.
• Sarah Pickering Beers, MD
• Cristein Pierce
• Olympia L Pinto
• Daveon Plummer

• Medical Physician Assistant in Willoughby Hills, OH
• Providers in Willoughby Hills, OH by specialty
• Medical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.