NPIMap

Individual provider Active NPI

Joanne Renelle Brooks, M.D.

  • Family Medicine Physician
  • Brookfield, WI
National Provider Identifier
1922037241
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40312-020 Issued in WI
Practice address
2085 N Calhoun Rd
Prohealth Care Medical Associates Inc.
Brookfield, WI 53005-5003
Phone
(262) 928-7100
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

Hospital & facility affiliations 7

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Wisconsin School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth Medical Group Inc 475 clinicians

Practice addresses (Care Compare)

13900 W National Ave
New Berlin, WI 53151-9515
Phone (262) 928-4500

195 Discovery Dr
Brookfield, WI 53045-2862
Phone (262) 513-7100

725 American Ave
Waukesha, WI 53188-5031
Phone (262) 928-1000

N16W24131 Riverwood Dr
Waukesha, WI 53188-1106
Phone (262) 696-0808

N17W24100 Riverwood Dr
Waukesha, WI 53188-1127
Phone (262) 928-4704

Hospital & facility affiliations

  • Prohealth Home Care Home health agency, Waukesha, WI, CCN 527178
  • Prohealth Home Hospice Hospice, Waukesha, WI, CCN 521537
  • Waukesha Memorial Hospital Hospital, Waukesha, WI, CCN 520008
  • Ascension SE Wisconsin Hospital Hospital, Milwaukee, WI, CCN 520136
  • Oconomowoc Memorial Hospital Hospital, Oconomowoc, WI, CCN 520062

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050822001377 WI Practitioner - Family Practice 5698706463 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40312-020WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Medical Group Inc Family Medicine CurrentSince Oct 1, 2006 Accepting new patients
Prohealth Medical Group Inc. Family Medicine CurrentSince Oct 1, 2006 Accepting new patients
Pratt Medical Center LTD Family Medicine Past Accepting new patients
Prohealth Medical Group Inc Family Medicine Past Accepting new patients
Pratt Medical Center LTD Past Accepting new patients

Locations

2085 N Calhoun Rd
Brookfield, WI 53005
Phone (262) 928-7100

195 Discovery Dr
Brookfield, WI 53045
Phone (262) 513-7100

2750 Golf Rd
Delafield, WI 53018
Phone (262) 928-4900

W180N8085 Town Hall Rd
Menomonee Fls, WI 53051
Phone (262) 257-5000

N14W23900 Stone Ridge Dr
Waukesha, WI 53188
Phone (262) 549-3030

N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093

Interoperability endpoints

  • Direct secure messaging: jbrooks4584@direct.phci.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 40312-020 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

2085 N Calhoun Rd
Prohealth Care Medical Associates Inc.
Brookfield, WI 53005-5003

Mailing address

2085 N Calhoun Rd
Prohealth Care Medical Associates Inc.
Brookfield, WI 53005-5003
Phone (262) 928-7100

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
34660900MedicaidWI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 23, 2012.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1922037241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 N CALHOUN RD",
            "address_2": "PROHEALTH CARE MEDICAL ASSOCIATES INC.",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055003",
            "telephone_number": "262-928-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 N CALHOUN RD",
            "address_2": "PROHEALTH CARE MEDICAL ASSOCIATES INC.",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055003",
            "telephone_number": "262-928-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JOANNE",
        "middle_name": "RENELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "40312-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34660900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.