Individual provider Active NPI

Jordan I Brooks, NP

  • Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1619306586
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71004685A Issued in IN
Practice address
8402 Harcourt Rd Ste 125
Indianapolis, IN 46260-2094
Phone
(317) 802-2000
Fax
(317) 802-3972
NPI assigned
Nov 1, 2013
Last updated
Feb 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71004685A IN Primary

Addresses

Primary practice location

8402 Harcourt Rd Ste 125
Indianapolis, IN 46260-2094

Mailing address

8450 Northwest Blvd
Indianapolis, IN 46278-1381
Phone (317) 802-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jordanbrooks@oi.allscriptsdirect.net Orthopaedics-Indianapolis, Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140102000850 IN Practitioner - Nurse Practitioner 1850529504 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedics-Indianapolis IncGroup PAC ID 7416860663, 357 clinicians

Practice addresses (Care Compare)

8402 Harcourt Rd
Suite 125
Indianapolis, IN 46260-2094
Phone (317) 802-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics-Indianapolis, Inc CurrentSince Aug 16, 2021 Accepting new patients
Orthopaedics-Indianapolis, Inc Nurse Practitioner CurrentSince Aug 16, 2021 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Jan 27, 2014 Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

7950 Ortho Ln
Brownsburg, IN 46112
Phone (317) 268-3600

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

1801 Senate Blvd
Ste 535
Indianapolis, IN 46202
Phone (317) 963-1950

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

8402 Harcourt Rd
Indianapolis, IN 46260
Phone (317) 338-6815

8402 Harcourt Rd
Ste 125
Indianapolis, IN 46260
Phone (317) 802-3281

8450 Northwest Blvd
Indianapolis, IN 46278

Interoperability endpoints

  • Direct secure messaging: jordan.brooks.1@29985.direct.athenahealth.com
  • Direct secure messaging: jordanbrooks@oi.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1619306586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 NORTHWEST BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781381",
            "telephone_number": "317-802-2000",
            "fax_number": "317-802-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8402 HARCOURT RD STE 125",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602094",
            "telephone_number": "317-802-2000",
            "fax_number": "317-802-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JORDAN",
        "middle_name": "I",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-01",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71004685A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jordanbrooks@oi.allscriptsdirect.net",
            "affiliation": "Y",
            "endpointDescription": "Allscripts e-mail",
            "affiliationName": "Orthopaedics-Indianapolis, Inc",
            "address_1": "8402 Harcourt Rd Ste 125",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462602094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.