Individual provider Active NPI

Brook D Croke, M.S., C.G.C.

  • Genetic Counselor (M.S.)
  • Springfield, IL
National Provider Identifier
1427327733
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
246-000143 Issued in IL
Practice address
400 N. 9TH Street
3Rd Floor Clinic B
Springfield, IL 62702
Phone
(217) 545-8000
Fax
(217) 545-9759
NPI assigned
Dec 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X 246-000143 IL Primary
Genetic Counselor (M.S.) 170300000X 246.000143 IL

Addresses

Primary practice location

400 N. 9TH Street
3Rd Floor Clinic B
Springfield, IL 62702

Mailing address

801 Broadway Ave NW
Grand Rapids, MI 49504-4462
Phone (855) 776-9436

Other practice location 1

801 Broadway Ave NW
Grand Rapids, MI 49504-4462
Phone (855) 776-9436 ext. 207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
246-000143ILMDGenetic Counselor (M.S.)
246.000143ILMDGenetic Counselor (M.S.)

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Ferluga, M.D., P.C. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1427327733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BROADWAY AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044462",
            "telephone_number": "855-776-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N. 9TH STREET",
            "address_2": "3RD FLOOR CLINIC B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62702",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-9759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Broadway Ave NW",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495044462",
            "country_code": "US",
            "telephone_number": "855-776-9436 x207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROKE",
        "first_name": "BROOK",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "M.S., C.G.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-16",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "IL",
            "license": "246-000143",
            "primary": true
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "IL",
            "license": "246.000143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.