Brother James Court

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

0020495 Issued in IL

Legal business name

BROTHER JAMES COURT

Practice address

2508 Saint James Rd
Springfield, IL 62707-9736

Phone

(217) 544-4876

Fax

(217) 747-5914

NPI assigned

Mar 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ron Wampler

Title

Administator

Phone

(217) 747-5900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386778462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 SAINT JAMES RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627079736",
            "telephone_number": "217-544-4876",
            "fax_number": "217-747-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 SAINT JAMES RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627079736",
            "telephone_number": "217-544-4876",
            "fax_number": "217-747-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTHER JAMES COURT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAMPLER",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "ADMINISTATOR",
        "authorized_official_telephone_number": "217-747-5900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "0020495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14G039",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Mark Brooks, M.D.
• Leah Brooks, LCSW
• Lori Brooks
• Mary Brooks, APRN-FPA
• Karen P Broquet, M.D.
• Jessica Brough
• Ami Broughton
• Jeffrey A. Brower, M.D.
• Brown Podiatric Medical Centre PC
• Jade Brown-Haley

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Springfield, IL
• Providers in Springfield, IL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.