Nancy J Brooke MD PC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

NB049930 Issued in MI

Legal business name

NANCY J BROOKE MD PC

Practice address

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

Phone

(616) 447-7200

Fax

(616) 447-9773

NPI assigned

Mar 27, 2008

Organization subpart

No

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

Authorized official

Name

Nancy J Brooke, M.D.NPI 1326090275

Title

President

Phone

(616) 447-7200

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nancy J Brooke, MD

  • Allergy & Immunology Physician
  • Grand Rapids, MI
  • NPI 1326090275
  NPD (past) Authorized official

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1407028608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 E BELTLINE AVE NE 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 STE 102",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495254598",
            "telephone_number": "616-447-7200",
            "fax_number": "616-447-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY J BROOKE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "BROOKE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-447-7200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "NB049930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2642755",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Najar, TLLP
• Andrew Paul Najor, BCBA
• Srikanth Nallan Chakravarthi
• Gopi K Nallani, M.D.
• Nancy Dock LLC
• David Robert Nanyes, DO
• Naos Counseling, LLC
• Kirk W Narmore, LMSW
• Erin Nartker, DDS
• Nathan Thomas Nartker, MD

• 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 Mar 27, 2008; 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.