Brooks Kids

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

BROOKS KIDS

Practice address

1900 E Lakeshore Dr
Ste 340
Decatur, IL 62521

Phone

(217) 423-7337

Fax

(217) 423-7338

NPI assigned

May 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Benjamin A Brooks, MD

Title

Physician Owner

Phone

(217) 423-7338

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750349809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E LAKESHORE DR",
            "address_2": "STE 340",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "62521",
            "telephone_number": "217-423-7337",
            "fax_number": "217-423-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E LAKESHORE DR",
            "address_2": "STE 340",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "62521",
            "telephone_number": "217-423-7337",
            "fax_number": "217-423-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "217-423-7338",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassie N Briggs, APN
• Susan S Brinklow, LCSW, ACSW
• Taylor Lorraine Brinkoetter
• Janet L Broderick
• Sarah Broida, LCSW
• Benjamin A Brooks, M.D.
• Annetta India Broomfield
• Aeriyelle Nichelle Brown
• Amy Elizabeth Brown II, LPTA
• Jatay Brown, RBT

• Pediatrics Physician in Decatur, IL
• Providers in Decatur, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.