NPIMap

Individual provider Active NPI

Alan D Brook, M.D.

  • Pulmonary Disease Physician
  • Saint Peters, MO
National Provider Identifier
1316938863
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
103141 Issued in MO
Practice address
6 Jungermann Cir
Suite 210
Saint Peters, MO 63376-1621
Phone
(636) 441-6056
Fax
(636) 441-0620
NPI assigned
Nov 3, 2005
Last updated
Jan 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 103141 MO Primary

Addresses

Primary practice location

6 Jungermann Cir
Suite 210
Saint Peters, MO 63376-1621

Mailing address

11133 Dunn Rd
Suite 2335
Saint Louis, MO 63136-6119
Phone (314) 653-5007

Other identifiers 1

IdentifierTypeStateIssuer
204014518MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100818000753 MO Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 8628102225 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Consultants IncGroup PAC ID 1355317280, 10 clinicians
Mercy Hospital PerryGroup PAC ID 1153777826, 115 clinicians

Practice addresses (Care Compare)

10 Hospital Dr
Saint Peters, MO 63376-1659
Phone (636) 916-9406

11133 Dunn Rd
Saint Louis, MO 63136-6119

11133 Dunn Rd
Suite 2335
Saint Louis, MO 63136-6165
Phone (314) 653-5007

210 Hospital LN
Suite 201
Perryville, MO 63775-4200
Phone (573) 768-3355

300 1St Capitol Dr
Saint Charles, MO 63301-2844
Phone (636) 443-2661

3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone (314) 996-5160

6 Jungermann Cir
Suite 210
Saint Peters, MO 63376-1625
Phone (636) 441-6056

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Perry Current Accepting new patients
Ste. Genevieve County Memorial Hospital CurrentSince Nov 13, 2016 Accepting new patients
Mercy Hospital Perry CurrentSince Oct 1, 2023 Accepting new patients
Mercy Hospital Perry CurrentSince Oct 1, 2023 Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Nov 13, 2016 Accepting new patients

Locations

210 Hospital Ln
Ste 201
Perryville, MO 63775
Phone (573) 768-3355

434 N West St
Perryville, MO 63775
Phone (573) 547-2530

753 Pointe Basse Dr
Ste Genevieve, MO 63670
Phone (573) 883-2782

Interoperability endpoints

  • Direct secure messaging: abrook135452@direct.carenet.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1316938863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11133 DUNN RD",
            "address_2": "SUITE 2335",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366119",
            "telephone_number": "314-653-5007",
            "fax_number": "314-653-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 JUNGERMANN CIR",
            "address_2": "SUITE 210",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761621",
            "telephone_number": "636-441-6056",
            "fax_number": "636-441-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOK",
        "first_name": "ALAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "103141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204014518",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.