Individual provider Active NPI

Deborah Gayle Brooks, AU.D., CCC-A, F-AAA

  • Audiologist
  • Stuart, FL
National Provider Identifier
1699849158
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1604 Issued in FL
Practice address
2221 SE Ocean Blvd Ste 300
Stuart, FL 34996-3341
Phone
(772) 500-3680
Fax
(772) 361-6870
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 001980-1 NY
Audiologist 231H00000X AY1604 FL Primary
Audiologist 231H00000X 1980-1 NY

Addresses

Primary practice location

2221 SE Ocean Blvd Ste 300
Stuart, FL 34996-3341

Mailing address

2221 SE Ocean Blvd Ste 300
Stuart, FL 34996-3341
Phone (772) 500-3680

Other practice location 1

10377 S US Highway 1 Ste 101
Port St Lucie, FL 34952-5630
Phone (772) 500-3680

Other identifiers 1

IdentifierTypeStateIssuer
0019801MedicaidNY

Other names 1

  • Deborah Gayle Kupchik Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200316002514 FL Practitioner - Qualified Audiologist 3072597442 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001980NYMDOccupational Therapist
001980-1NYMDAudiologist
1980-1NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC CurrentSince Oct 13, 2025 Accepting new patients
Audiology Services Company USA, LLC CurrentSince Oct 13, 2025 Accepting new patients
Audpractice Group Audiologist CurrentSince Apr 15, 2025 Accepting new patients
Audiology Services Company USA, LLC Audiologist Current Accepting new patients
Center for Hearing and Communication Audiologist Past Accepting new patients

Locations

5333 N Dixie Hwy
Ste 105
Oakland Park, FL 33334
Phone (954) 491-3707

3375 Burns Rd
Ste 106
Palm Beach Gardens, FL 33410
Phone (561) 624-7525

5147 N 9th Ave
Ste 315
Pensacola, FL 32504
Phone (850) 473-0112

3819 Murrell Rd
Ste B
Rockledge, FL 32955
Phone (321) 252-1412

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1699849158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 SE OCEAN BLVD STE 300",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963341",
            "telephone_number": "772-500-3680",
            "fax_number": "772-361-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 SE OCEAN BLVD STE 300",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963341",
            "telephone_number": "772-500-3680",
            "fax_number": "772-361-6870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10377 S US Highway 1 Ste 101",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349525630",
            "country_code": "US",
            "telephone_number": "772-500-3680",
            "fax_number": "772-361-6870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "DEBORAH",
        "middle_name": "GAYLE",
        "credential": "AU.D., CCC-A, F-AAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001980-1",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1604",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "1980-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019801",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "KUPCHIK",
            "middle_name": "GAYLE",
            "credential": "M.S. -CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.