Active NPI
Aerial Brooke Lail, PA
- Physician Assistant
- Hickory, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-12742
- Practice address
- 214 18TH St SE
Hickory, NC 28602-1363 - Phone
- (828) 322-5172
- Fax
- (828) 322-6963
- NPI assigned
- Nov 8, 2022
- Last updated
- Apr 8, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-12742 | NC | Primary |
Addresses
Primary practice location
214 18TH St SE
Hickory, NC 28602-1363
Mailing address
1501 Tate Blvd SE
PO Box 38
Hickory, NC 28603-0038
Phone (828) 612-7772
Other names 1
- Aerial Brooke Brockman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1915 Randolph Rd
Charlotte, NC 28207-1101
Phone (704) 323-2282
214 18TH St SE
Hickory, NC 28602-1363
Phone (704) 323-2276
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.25 of 100
- Quality
- 82.32
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.52
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthocarolina | Physician Assistant | Current | Accepting new patients |
| Orthocarolina | Physician Assistant | Current | Accepting new patients |
| Catawba Womens Center PA | Past | Accepting new patients |
Locations
1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000
214 18th St SE
Hickory, NC 28602
Phone (828) 322-5172
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.
-
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- Charlotte, NC
- NPI 1497704217
-
- Obstetrics & Gynecology Physician
- Morrisville, NC
- NPI 1639506470
-
- Obstetrics & Gynecology Physician
- Hickory, NC
- NPI 1881671402
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1164495255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1902514037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 TATE BLVD SE",
"address_2": "PO BOX 38",
"city": "HICKORY",
"state": "NC",
"postal_code": "286030038",
"telephone_number": "828-612-7772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 18TH ST SE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286021363",
"telephone_number": "828-322-5172",
"fax_number": "828-322-6963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAIL",
"first_name": "AERIAL",
"middle_name": "BROOKE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-08",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-12742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AERIAL",
"last_name": "BROCKMAN",
"middle_name": "BROOKE",
"credential": "PA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.