DR. S. A. BROOKS DPM NPI 1154747400

NPI Information

NPI: 1154747400
Provider Name: DR. S. A. BROOKS, DPM
Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
6464 W MAIN ST
SUITE 7A
BELLEVILLE, IL
ZIP 62223
Phone: (618) 293-1785
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DR. S. A. BROOKS, DPM is a podiatric clinic center in Belleville, IL. DR. S. A. BROOKS, DPM NPI is 1154747400. The provider is registered as an organization entity type.

The provider's business location address is:

6464 W MAIN ST
SUITE 7A
BELLEVILLE, IL
ZIP 62223-811
Phone: (618) 293-1785

The provider's authorized official is Shron Brooks .
The authorized official title is Sole Podiatrist and has the following contact phone number (618) 293-1785.

The enumeration date for this NPI number is 3/11/2014 and was last updated on 3/11/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP1100X	Clinic/Center	Podiatric	016004697	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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