Individual provider Active NPI

Brooke Lyn Spencer, MD

  • Radiation Oncology Physician
  • Flint, MI
National Provider Identifier
1215149117
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
4301093763 Issued in MI
Practice address
4100 Beecher Rd Ste a
Flint, MI 48532-3661
Phone
(810) 342-3800
Fax
(810) 342-3784
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 4301093763 MI Primary

Addresses

Primary practice location

4100 Beecher Rd Ste a
Flint, MI 48532-3661

Mailing address

4100 Beecher Rd Ste a
Flint, MI 48532-3661
Phone (810) 342-3813

Other practice location 1

3180 E Midland Rd
Bay City, MI 48706-2755
Phone (989) 667-6670

Other practice location 2

1221 South Dr
MT Pleasant, MI 48858-3257
Phone (989) 772-6811

Other names 1

  • Brooke Lyn Trotter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20130916000392 MI Practitioner - Radiation Oncology 6002050911 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hesham E Gayar MD PCGroup PAC ID 2769385038, 6 clinicians

Practice addresses (Care Compare)

4100 Beecher Rd a
Flint, MI 48532-3661
Phone (810) 342-3800

Hospital & facility affiliations

  • McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167
  • McLaren Flint Hospital, Flint, MI, CCN 230141
  • Memorial Healthcare Hospital, Owosso, MI, CCN 230121
  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230
  • McLaren Bay Region Hospital, Bay City, MI, CCN 230041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc. Current Accepting new patients
Northeastern Michigan Cancer Center Radiation Oncology CurrentSince Jul 1, 2013 Accepting new patients
Covenant Medical Center, Inc Internal Medicine CurrentSince Oct 17, 2016 Accepting new patients
Northeastern Michigan Cancer Center Radiation Oncology CurrentSince Jul 1, 2013 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Oct 17, 2016 Accepting new patients

Locations

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

1500 E Medical Center Dr
Rm C490
Ann Arbor, MI 48109
Phone (734) 936-4300

2780 Main St
Marlette, MI 48453
Phone (989) 635-1050

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

5400 Mackinaw Rd
Saginaw, MI 48604
Phone (989) 583-5200

5950 Metro Way SW
Wyoming, MI 49519
Phone (616) 252-8100

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1215149117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 BEECHER RD STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323661",
            "telephone_number": "810-342-3813",
            "fax_number": "810-342-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 BEECHER RD STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323661",
            "telephone_number": "810-342-3800",
            "fax_number": "810-342-3784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3180 E Midland Rd",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487062755",
            "country_code": "US",
            "telephone_number": "989-667-6670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1221 South Dr",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "MI",
            "postal_code": "488583257",
            "country_code": "US",
            "telephone_number": "989-772-6811",
            "fax_number": "989-772-6795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "BROOKE",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "4301093763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "TROTTER",
            "middle_name": "LYN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.