Harley C Brooks III, M.D.

Primary specialty

Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X

License

036100625 Issued in IL

Practice address

900 Jorie Blvd
Suite 186
Oak Brook, IL 60523-2213

Phone

(630) 954-6700

Fax

(630) 954-1555

NPI assigned

Jun 12, 2006

Sex

Male

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

Other names 1

• Harley Brooks Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1326080177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 JORIE BLVD",
            "address_2": "SUITE 186",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232213",
            "telephone_number": "630-954-6700",
            "fax_number": "630-954-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JORIE BLVD",
            "address_2": "SUITE 186",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232213",
            "telephone_number": "630-954-6700",
            "fax_number": "630-954-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "HARLEY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "IL",
            "license": "036100625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036100625",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN - 645650",
            "identifier": "L76029",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HARLEY",
            "last_name": "BROOKS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Megan M Bradberry, DPT
• Breath of Life Professional Services, NFP, Inc.
• Amy Brink
• Jennifer Broers, LCSW
• Brook Clinic Associates, P.C.
• Blair Meredith Brown, PSY.D.
• Latasha Brown
• Shane Bruni
• Joseph C Brutzkus, MD
• Paulina N. Brzozowski-Sawicki, D.D.S.

• Adolescent Medicine (Internal Medicine) Physician in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Adolescent Medicine (Internal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.