Active NPI
David R Brooker, M.D.
- Nephrology Physician
- Cranberry, PA
National Provider Identifier
1649214552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD044955L
- Practice address
- 6945 US 322 Unit 508
Cranberry, PA 16319-3126 - Phone
- (814) 678-1177
- Fax
- (814) 678-3377
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD044955L | PA | Primary |
Addresses
Primary practice location
6945 US 322 Unit 508
Cranberry, PA 16319-3126
Mailing address
6945 US 322 Unit 508
Cranberry, PA 16319-3126
Phone (814) 678-1177
Other practice location 1
218 Oak St Unit 2
Grove City, PA 16127-1022
Phone (724) 264-4700
Other practice location 2
22631 Route 68 Ste 450B
Clarion, PA 16214-4076
Phone (814) 227-2940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050425000718 | PA | Practitioner - Nephrology | 3870560469 |
Reassigns benefits to 1 organization Practice locations: Clarion, PA; Cranberry, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coordinated Kidney Care Group Inc
Practice addresses (Care Compare)
1 Nolte Dr
BLDG 700 Suite 720
Kittanning, PA 16201-7111
Phone (724) 548-1395
6945 US
322 Unit 508
Cranberry, PA 16319-3126
Phone (814) 678-1177
Hospital & facility affiliations
- FKC Oil City
- Upmc Northwest
- Independence Health System Clarion Hospital
- Titusville Area Hospital
- Independence Health System Butler Memorial Hospita
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.69 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 78.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD044955L | PA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coordinated Kidney Care Group, Inc. | Nephrology | Current | Accepting new patients |
| Renal Care of Clarion, LLC | Past | Accepting new patients |
Locations
6945 US 322
Unit 508
Cranberry, PA 16319
Phone (814) 678-1177
218 Oak St
Unit 2
Grove City, PA 16127
Phone (724) 264-4700
1 Nolte Dr
Bldg 700
Kittanning, PA 16201
Phone (412) 489-1980
Interoperability endpoints
- brooker_david@yourcarecommunity.org
- dbrooker@ntn.medentdirect.com
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.
-
- Nephrology Physician
- Kittanning, PA
- NPI 1407044308
Nephrology, PA
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Clarion, PA
- NPI 1538153812
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Cranberry, PA
- NPI 1275088908
Dialysis facility
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Butler, PA
- NPI 1821162314
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1649214552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6945 US 322 UNIT 508",
"city": "CRANBERRY",
"state": "PA",
"postal_code": "163193126",
"telephone_number": "814-678-1177",
"fax_number": "814-678-3377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6945 US 322 UNIT 508",
"city": "CRANBERRY",
"state": "PA",
"postal_code": "163193126",
"telephone_number": "814-678-1177",
"fax_number": "814-678-3377"
}
],
"practiceLocations": [
{
"address_1": "218 Oak St Unit 2",
"address_purpose": "LOCATION",
"city": "Grove City",
"state": "PA",
"postal_code": "161271022",
"country_code": "US",
"telephone_number": "724-264-4700",
"fax_number": "814-678-3377",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "22631 Route 68 Ste 450B",
"address_purpose": "LOCATION",
"city": "Clarion",
"state": "PA",
"postal_code": "162144076",
"country_code": "US",
"telephone_number": "814-227-2940",
"fax_number": "814-678-3377",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROOKER",
"first_name": "DAVID",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PA",
"license": "MD044955L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cranberry, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.