Nancy J Brooke, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

NB049930 Issued in MI

Practice address

1525 E Beltline Ave NE
Ste 102
Grand Rapids, MI 49525-4598

Phone

(616) 447-7200

Fax

(616) 447-9773

NPI assigned

May 17, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Nancy J Brooke MD PC

  • Allergy & Immunology Physician
  • Grand Rapids, MI
  • NPI 1407028608
  NPD (past) Authorized official

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326090275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 E BELTLINE AVE NE",
            "address_2": "STE 102",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495254598",
            "telephone_number": "616-447-7200",
            "fax_number": "616-447-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E BELTLINE AVE NE",
            "address_2": "STE 102",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495254598",
            "telephone_number": "616-447-7200",
            "fax_number": "616-447-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKE",
        "first_name": "NANCY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "NB049930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2642755",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kate Marilyn Brondyk, RDN
• Chandler Bronkema, MD
• Stacie Bronkema
• Lindsey Bronold, LMSW
• Aimee Bronson, O.D.
• Sara Elizabeth Brooke, LLMSW
• Brianne Alyse Brooker, PHD
• Glen Brookhouse
• Brooks Counseling Services
• Andrea Jo Brooks

• Allergy & Immunology Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Allergy & Immunology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.