MR. BENJAMIN A BROOKS (NPI# 1851564470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851564470 |
Entity Type | Individual |
Full Name | MR. BENJAMIN A BROOKS |
Credential | M.D. |
Practice Address |
637 E Snyder St Decatur IL 62526 |
Practice Telephone | 2174237337 |
Practice Fax Number | 2174237338 |
Mailing Telephone | 2174237337 |
Mailing Fax Number | 2174237338 |
Enumeration Date | 2008-04-03 |
Last Update Date | 2020-09-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
036104474 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036104474 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710959929 | Benjamin Brooks | Psychiatry & Neurology | 1010 Edgehill Rd N, Charlotte, NC 28207-1885 | 2006-02-02 |
1194077040 | Benjamin Brooks | Dentist | 333 California Ave, Reno, NV 89509-1645 | 2012-10-02 |
1366479115 | Benjamin Keith Brooks | Radiology | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | 2006-06-27 |
Street Address |
637 E SNYDER ST |
City | DECATUR |
State | IL |
Zip Code | 62526 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124001391 | Christina M Branham | Pediatrics | 637 E Snyder St, Decatur, IL 62526 | 2005-11-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
Find all providers in zip 62526 |
Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710100052 | Drs. James & Kathryn Mize PC | Pediatrics | 1225 13th Ave Se, Decatur, AL 35601-4306 | 2007-04-11 |
1902914013 | Cynthia Woodward Kelly | Pediatrics | 5008 Snapfinger Woods Dr, Decatur, GA 30035-4018 | 2006-08-28 |
1619927878 | Byron C Cotton | Pediatrics | 2785 Lawrenceville Hwy, Ste 207, Decatur, GA 30033-2515 | 2006-05-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417259979 | Adolescent and Young Adult Place Ltd | Pediatrics | 9 N Cicero Ave, Chicago, IL 60644-3602 | 2010-12-03 |
1942520671 | Cherie Priya Dhar | Pediatrics | 1440 N Dayton St Fl 3, Chicago, IL 60642-2644 | 2010-06-04 |
1730334764 | Neighborhood Pedicatrics Sc | Pediatrics | 20200 Governors Dr, 101, Olympia Fields, IL 60461-1032 | 2008-11-18 |
1790950244 | Kids Place of Willowbrool Sc | Pediatrics | 6727 Kingery Hwy, Willowbrook, IL 60527-5142 | 2008-04-25 |
1841475746 | David C. Norman, Md Inc. | Pediatrics | 4600 Memorial Dr Ste G60, Belleville, IL 62226-5366 | 2008-01-09 |
1346429859 | Pediatric & Adolescent Center, S.c. | Pediatrics | 125 E Lake Cook Rd Ste 107, Buffalo Grove, IL 60089-4394 | 2007-10-31 |
1649475377 | Lisa Kantz Simons | Pediatrics | 225 E Chicago Ave # Ms 161b, Chicago, IL 60611-2991 | 2007-06-21 |
1346368487 | Sarah Bush Lincoln Health Center | Pediatrics | 1411 E St, Suite 2, Charleston, IL 61920-2529 | 2007-03-27 |
1558402958 | Ashok H Bhaskar | Pediatrics | 2250 Weber Rd, Crest Hill, IL 60435-0928 | 2007-02-09 |
1609927417 | Kimberly A Seipel-carrow | Pediatrics | Northwestern University Health Services, 633 Emerson, Evanston, IL 60208-0001 | 2007-01-16 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.