Organization Active NPI

Brooks Med Group Co

  • Family Medicine Physician
  • Cleveland, OH
National Provider Identifier
1861795213
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.051718 Issued in OH
Legal business name
BROOKS MED GROUP CO
Practice address
815 Superior Ave E
Cleveland, OH 44114-2706
Phone
(216) 924-6084
NPI assigned
Dec 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
Robert Caldemeyer
Title
Ceo
Phone
(216) 924-6084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35.051718 OH Primary

Addresses

Primary practice location

815 Superior Ave E
Cleveland, OH 44114-2706

Mailing address

815 Superior Ave E
Cleveland, OH 44114-2706

National Provider Directory

National Provider Directory

Locations

2840 S 70th St
#7368
Lincoln, NE 68506

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1861795213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 SUPERIOR AVE E",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441142706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 SUPERIOR AVE E",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441142706",
            "telephone_number": "216-924-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS MED GROUP CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "CALDEMEYER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-924-6084"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.051718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.