Brooks Med Group Co

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

25262 Issued in NE

Legal business name

BROOKS MED GROUP CO

Practice address

2840 S 70TH St
Suite 7-368
Lincoln, NE 68506-3662

Phone

(402) 878-0059

NPI assigned

Aug 18, 2010

Last updated

Oct 20, 2010By 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

Gregory Brooks

Title

Ceo

Phone

(402) 878-0059

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1760797401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 S 70TH ST",
            "address_2": "SUITE 7-368",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685063662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 S 70TH ST",
            "address_2": "SUITE 7-368",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685063662",
            "telephone_number": "402-878-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS MED GROUP CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-878-0059"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NE",
            "license": "25262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne E Bronson, CNM
• Brookhaven Therapy, LLC
• Doretta Janna Brookins
• Brooks Co
• Clinton Brooks III
• Jolean Brooks-Nesbitt
• Catherine Ann Brooks, D.O.
• Chamire Brooks
• Clayton Anthony Brooks
• Clinton Brooks Jr.

• Allergy & Immunology Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Allergy & Immunology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.