Organization Active NPI

Nicholas Brockert MD an Operating Division of Saint John Hospital

  • Family Medicine Physician
  • Lansing, KS
National Provider Identifier
1982832895
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NICHOLAS BROCKERT MD AN OPERATING DIVISION OF SAINT JOHN HOSPITAL
Practice address
1004 Progress Dr
Suite 200
Lansing, KS 66043-6326
Phone
(913) 651-3111
Fax
(913) 651-3103
NPI assigned
Jun 30, 2009
Organization subpart
Yes
Parent organization
SAINT JOHN HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Mr. Michael A Dorsey
Title
Ceo Providence Health
Phone
(913) 596-4000

Specialties & licenses 1

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

Addresses

Primary practice location

1004 Progress Dr
Suite 200
Lansing, KS 66043-6326

Mailing address

PO Box 12406
Kansas City, KS 66112-0406
Phone (913) 825-6512

National Provider Directory

National Provider Directory
Part of
Saint John Hospital

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1982832895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12406",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661120406",
            "telephone_number": "913-825-6512",
            "fax_number": "913-328-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 PROGRESS DR",
            "address_2": "SUITE 200",
            "city": "LANSING",
            "state": "KS",
            "postal_code": "660436326",
            "telephone_number": "913-651-3111",
            "fax_number": "913-651-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS BROCKERT MD AN OPERATING DIVISION OF SAINT JOHN HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT JOHN HOSPITAL",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "DORSEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO PROVIDENCE HEALTH",
        "authorized_official_telephone_number": "913-596-4000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.