Brookpark City

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BROOKPARK CITY

Practice address

17401 Holland Rd
Brookpark, OH 44142

Phone

(216) 433-1215

Fax

(216) 433-7340

NPI assigned

Jul 22, 2006

Last updated

Sep 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric Fike

Title

Fire Chief

Phone

(216) 433-1214

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1619998788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519907",
            "telephone_number": "800-962-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17401 HOLLAND RD",
            "city": "BROOKPARK",
            "state": "OH",
            "postal_code": "44142",
            "telephone_number": "216-433-1215",
            "fax_number": "216-433-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKPARK CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "FIKE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "216-433-1214"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000155962",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2079692",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Booth
• John S Bostic, D.D.S.
• Madonna Bowen, RN
• Eric Branham
• Brook Park Functional Rehab
• Lauren Zellmer Brown, PSY.D.
• Buckeye Foot Care
• Yazmin Calderon Lopez
• Erica Callahan
• Laurie Ann Campbell, PEER SPECIALIST

• Land Ambulance in Brookpark, OH
• Providers in Brookpark, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.