Brooke Cross
Individual provider Active NPI Speech-Language Pathologist · Fort Mitchell, AL
NPI 1457166266 · NPPES record last updated Feb 10, 2025
Key facts
- NPI
- 1457166266
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP010390 (GA)
- Practice address
- 2 Gilmore Rd
Fort Mitchell, AL 36856-4442 - Phone
- (334) 664-0463
- NPI assigned
- Feb 10, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP010390 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Mitchell Clinic PC | Current |
Accepting new patients | |
| Pinnacle Enterprises PC | Current |
Accepting new patients |
Locations
2 Gilmore Rd
Fort Mitchell, AL 36856
Phone (334) 664-0463
3700 S Railroad St
Ste A
Phenix City, AL 36867
Phone (334) 664-0463
1810 Stadium Dr
Ste 110
Phenix City, AL 36867
Phone (334) 291-4252
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP010390 | GA | Yes |
Addresses
Primary practice location
2 Gilmore Rd
Fort Mitchell, AL 36856-4442
Mailing address
2 Gilmore Rd
Fort Mitchell, AL 36856-4442
Phone (334) 664-0463
NPI Registry JSON
{
"created_epoch": "1739145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1457166266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 GILMORE RD",
"city": "FORT MITCHELL",
"state": "AL",
"postal_code": "368564442",
"telephone_number": "334-664-0463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 GILMORE RD",
"city": "FORT MITCHELL",
"state": "AL",
"postal_code": "368564442",
"telephone_number": "334-664-0463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSS",
"first_name": "BROOKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-10",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP010390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Mitchell, AL
- Chantal Alford
- Amber Richelle Brightwell
- Millicent Naomi Childree
- Deanna Deaton
- Fort Mitchell Clinic PC
- Gateway Solutions LLC
- Grace Homecare Agency
- Natasha Patrice Green
All providers in Fort Mitchell, AL · Speech-Language Pathologist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.