NPIMap

Individual provider Active NPI

Brooke B Edwards, M.D.

  • Urology Physician
  • Crestview Hills, KY
National Provider Identifier
1770726382
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
TP882 Issued in KY
Practice address
350 Thomas More Pkwy
Suite 200
Crestview Hills, KY 41017-5465
Phone
(859) 363-2200
NPI assigned
Apr 13, 2009
Last updated
Jul 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X VA
Urology Physician 208800000X TP882 KY Primary

Addresses

Primary practice location

350 Thomas More Pkwy
Suite 200
Crestview Hills, KY 41017-5465

Mailing address

2000 Joseph E Sanker Blvd
Cincinnati, OH 45212-1979
Phone (513) 841-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140717001351 KY Practitioner - Urology 1658597216 Reassigns benefits to 1 organization
I20140811000269 OH Practitioner - Urology 1658597216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Indiana Medical College, School of Medicine of Purdue University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri State Urologic Services PSC IncGroup PAC ID 6204740889, shared by 8 NPIs, 74 clinicians

Practice addresses (Care Compare)

2000 Joseph E Sanker Blvd
Cincinnati, OH 45212-1979
Phone (513) 841-7400

350 Thomas More Pkwy
Suite 200
Crestview Hills, KY 41017-5460
Phone (859) 363-2200

4360 Ferguson Dr
Suite 100
Cincinnati, OH 45245-1683
Phone (513) 841-7750

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.83 of 100Reported as group
Promoting interoperability
98
Improvement activities
40
Cost
83.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TP882KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri State Urologic Services PSC Inc Urology CurrentSince Jul 1, 2014 Accepting new patients
Tri State Urologic Services PSC Inc Urology CurrentSince Jul 1, 2014 Accepting new patients
Tri State Urologic Services PSC Inc Urology Current Accepting new patients
Tri State Urologic Services PSC Inc Urology Current Accepting new patients
Tri State Urologic Services PSC Inc Urology CurrentSince Jul 1, 2014 Accepting new patients

Locations

350 Thomas More Pkwy
Ste 200
Crestview Hills, KY 41017
Phone (859) 363-2200

4360 Ferguson Dr
Ste 100
Cincinnati, OH 45245
Phone (513) 841-7750

2000 Joseph E Sanker Blvd
Norwood, OH 45212
Phone (513) 841-7400

Interoperability endpoints

  • Direct secure messaging: brookeedwards@tsus.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1770726382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 JOSEPH E SANKER BLVD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452121979",
            "telephone_number": "513-841-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 THOMAS MORE PKWY",
            "address_2": "SUITE 200",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410175465",
            "telephone_number": "859-363-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "BROOKE",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KY",
            "license": "TP882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview Hills, KY

Sources for this page

Verify at the official NPI Registry.