Brook Healthcare Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

34072 Issued in TN

Legal business name

BROOK HEALTHCARE CORP

Practice address

826 Memorial Blvd
Suite 104
Murfreesboro, TN 37129-2738

Phone

(615) 867-4753

Fax

(615) 867-0177

NPI assigned

Sep 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tochukwu Ikejiani, MDNPI 1295709897

Title

President

Phone

(615) 867-4753

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tochukwu C. Ikejiani, M.D.

  • Internal Medicine Physician
  • Murfreesboro, TN
  • NPI 1295709897
  NPD (past) Authorized official

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1568657161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 330638",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371330638",
            "telephone_number": "615-867-4753",
            "fax_number": "615-867-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 MEMORIAL BLVD",
            "address_2": "SUITE 104",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292738",
            "telephone_number": "615-867-4753",
            "fax_number": "615-867-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOK HEALTHCARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "IKEJIANI",
        "authorized_official_first_name": "TOCHUKWU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-867-4753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "34072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO",
            "identifier": "8490876",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3886850",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "4070446",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MADICARE RAILROAD",
            "identifier": "P00035887",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE SELECT",
            "identifier": "4089201",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacia D Brock, M.S., BCBA, LBA
• Amanda Cheryl Brockman, NP-C, FNP-BC
• Katie Elaine Brockman, LCSW
• Tracy F Brockman, LPC,MHSP
• Daniel John Broderick, PHD
• Alyssa Rose Brooks, LCSW
• Jada Brooks, DPT
• Janea Brooks
• Melissa Verish Broome, PH.D.
• Brittney Brothers

• Internal Medicine Physician in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.