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

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SLP010390GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Mitchell Clinic PC Current
since Feb 23, 2025
Accepting new patients
Pinnacle Enterprises PC Current
since Feb 23, 2025
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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 10, 2025.

{
    "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

All providers in Fort Mitchell, AL · Speech-Language Pathologist in Alabama

Sources for this page

Verify at the official NPI Registry.