Active NPI
Judith C Brooks, M.D.
- Family Medicine Physician
- Port St Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME1190915
- Practice address
- 1701 SE Hillmoor Dr Ste B9
Port St Lucie, FL 34952-7540 - Phone
- (772) 348-0303
- Fax
- (772) 348-0307
- NPI assigned
- Jun 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME1190915 | FL | Primary |
Addresses
Primary practice location
1701 SE Hillmoor Dr Ste B9
Port St Lucie, FL 34952-7540
Mailing address
1701 SE Hillmoor Dr Ste B9
Port Saint Lucie, FL 34952-7540
Phone (772) 348-0303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1701 SE Hillmoor Dr
Suite B9
Port Saint Lucie, FL 34952-7540
Phone (772) 348-0303
Hospital & facility affiliations
- Elite Home Health Group Inc
- Cleveland Clinic Martin North Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME1190915 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lucie Medical Specialists LLC | Family Medicine | Current | Accepting new patients |
| South Palm Family Center | Family Medicine | Current | Accepting new patients |
Locations
2505 SW Martin Hwy
Palm City, FL 34990
Phone (772) 288-0060
1701 SE Hillmoor Dr
Ste B9
Port St Lucie, FL 34952
Phone (772) 348-0303
140 SW Chamber Ct
Ste 100
Port St Lucie, FL 34986
Phone (772) 873-0303
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Port Saint Lucie, FL
- NPI 1720746951
-
- Family Medicine Physician
- Port St Lucie, FL
- NPI 1548447535
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Boca Raton, FL
- NPI 1578954335
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1235398025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 SE HILLMOOR DR STE B9",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349527540",
"telephone_number": "772-348-0303",
"fax_number": "772-348-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 SE HILLMOOR DR STE B9",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527540",
"telephone_number": "772-348-0303",
"fax_number": "772-348-0307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "JUDITH",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-05",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME1190915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.