Susanne Brooks, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

4704208513 Issued in MI

Practice address

926 N Michigan Ave
Saginaw, MI 48602-4323

Phone

(989) 753-8453

Fax

(989) 753-3519

NPI assigned

Jan 4, 2006

Last updated

Feb 22, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20451/brand/1/csg/1/fhir/r4
• Direct secure messaging: sbrooks@valley-obgyn.gwaydirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valley OB GYN Clinic PC

  • Specialist
  • Saginaw, MI
  • NPI 1891803904
  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1265410815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 N MICHIGAN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024323",
            "telephone_number": "989-753-8453",
            "fax_number": "989-753-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 N MICHIGAN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024323",
            "telephone_number": "989-753-8453",
            "fax_number": "989-753-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "SUSANNE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704208513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144490590",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PIN",
            "identifier": "42-0-87-7371-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antonio Brooks
• Charkyra Brooks
• Gary A Brooks, M.D.
• Mary Elizabeth Brooks, P.T.A.
• Robin Brooks
• Tanya Brooks
• Nathanael James Brookshire
• Brianna Brophy
• Shai Moshe Brosh, PHD
• Shelley Brotherton, LLPC

• Advanced Practice Midwife in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Advanced Practice Midwife in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.