Active NPI
Deborah Gayle Brooks, AU.D., CCC-A, F-AAA
- Audiologist
- Stuart, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY1604
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019801 | Medicaid | NY |
Other names 1
- Deborah Gayle Kupchik
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001980 | NY | MD | Occupational Therapist |
| 001980-1 | NY | MD | Audiologist |
| 1980-1 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Services Company USA, LLC | Current | Accepting new patients | |
| Audiology Services Company USA, LLC | Current | Accepting new patients | |
| Audpractice Group | Audiologist | Current | 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.
-
- Hearing and Speech Clinic/Center
- Somerset, NJ
- NPI 1033585302
Audiologist, FL
-
- Hearing and Speech Clinic/Center
- Melbourne, FL
- NPI 1902318108
-
- Hearing and Speech Clinic/Center
- Winter Park, FL
- NPI 1982416418
-
- Audiologist
- Ft Lauderdale, FL
- NPI 1891888574
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.