Brooke Roebuck, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

29288 Issued in OK

Practice address

1272 W Main Rd
Middletown, RI 02842

Phone

(401) 847-2290

Fax

(401) 849-8446

NPI assigned

May 30, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Aquidneck Pediatrics LLC

  • Pediatrics Physician
  • Middletown, RI
  • NPI 1245681626
  NPD (past)

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1386905073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 W MAIN RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028426405",
            "telephone_number": "401-847-2290",
            "fax_number": "401-849-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 W MAIN RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "02842",
            "telephone_number": "401-847-2290",
            "fax_number": "401-849-8446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1272 W Main Rd",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "RI",
            "postal_code": "02842",
            "country_code": "US",
            "telephone_number": "401-847-2290",
            "fax_number": "401-849-8446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROEBUCK",
        "first_name": "BROOKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "29288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alessi A Rispoli, O.D.
• Katherine Rispoli, O.D.
• Robert a. Carrellas, M.D, P.C.
• Baley V Rochefort, PHARM.D.
• Marc Edwards Rodrigues Davis
• Jacqueline Marie Rogers, LCSW
• Teresa Carolyn Roney, R.N.
• Natalia Rosa
• Royal at Home Ri LLC
• Royal Middletown Nursing Center LLC

• Pediatrics Physician in Middletown, RI
• Providers in Middletown, RI by specialty
• Pediatrics Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.