MR. BENJAMIN A BROOKS


Address: 637 E Snyder St, Decatur, IL 62526
Phone: 2174237337

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
036104474 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036104474 05

Other Providers BENJAMIN BROOKS

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

Office Location

Street Address 637 E SNYDER ST
City DECATUR
State IL
Zip Code 62526

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124001391 Christina M Branham Pediatrics 637 E Snyder St, Decatur, IL 62526 2005-11-22

Providers in the same zip code

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 Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City DECATUR
Zip Code 62526

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Dataset Information

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.

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