DR. S. A. BROOKS, DPM
NPI 1154747400
Clinic/Center - Podiatric in Belleville, IL

NPI Status: Active since March 11, 2014

Contact Information

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

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  • Organization
  • Clinic/Center
  • Podiatric

About DR. S. A. BROOKS, DPM

This page provides the complete NPI Profile along with additional information for Dr. S. A. Brooks, Dpm, a provider established in Belleville, Illinois operating as a Clinic/center, focusing in podiatric . The healthcare provider is registered in the NPI registry with number 1154747400 assigned on March 2014. The practitioner's primary taxonomy code is 261QP1100X with license number 016004697 (IL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Shron Brooks Dpm (Sole Podiatrist)

NPI
1154747400
Provider Name
DR. S. A. BROOKS, DPM
Entity Type
Organization
Location Address
6464 W MAIN ST SUITE 7A BELLEVILLE, IL 62223
Location Phone
(618) 293-1785
Mailing Address
6464 W MAIN ST SUITE 7A BELLEVILLE, IL 62223
Mailing Phone
(618) 293-1785
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-11-2014
Last Update Date
03-11-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Podiatric

Taxonomy Code
261QP1100X
Type
Ambulatory Health Care Facilities
License No.
016004697
License State
IL

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. SHRON BROOKS DPM

Authorized Official Title
SOLE PODIATRIST
Authorized Official Phone
(618) 293-1785

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154747400
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211041441440
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 4 + 4 + 1 + 4 + 4 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1154747400 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1649202243DR. BRIDGET LYBARGER D.C.
Individual
Chiropractor (Neurology)6464 W MAIN ST 1A
BELLEVILLE, IL 62223
(618) 398-5476

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154747400, enumerated in the NPI registry as an "organization" on March 11, 2014

The provider is located at 6464 W Main St Suite 7a Belleville, Il 62223 and the phone number is (618) 293-1785

This medical organization specializes in Clinic/Center with taxonomy code 261QP1100X with a focus in Podiatric

This NPI record was last updated on March 11, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.