BROOKE RADCLIFFE
NPI 1003605114
Student in an Organized Health Care Education/Training Program in Blue Ash, OH

Active since May 05, 2025PECOS EnrolledAccepts Medicare Assignment
1945 CEI DR, BLUE ASH, OH 45242(513) 984-5133 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2025, May 5, 2025 (2 updates tracked since 2025).

About Brooke Radcliffe NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKE RADCLIFFE (NPI 1003605114) is an individual student in an organized health care education/training program in Blue Ash, Ohio and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1003605114
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBROOKE RADCLIFFE
Location Address1945 CEI DRBlue Ash, OH 45242-5664
Mailing Address115 Chateau Valley LnSouth Lebanon, OH 45065-8749 · (513) 405-3596
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 5, 2025
Last NPPES UpdateJuly 16, 20252 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
NPI 1003605114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedOptometristTaxonomy 152W00000X · License OPT.007416 (OH)
1945 CEI DR, Blue Ash, OH 45242

Secondary Practice Locations 6

Location 19997 Carver Rd Ste 200Blue Ash, OH 45242-5537 · Phone (513) 984-5133
Location 25850 Innovation DrMiddletown, OH 45005-5188 · Phone (513) 984-5133
Location 3580 S Loop Rd Ste 200Edgewood, KY 41017-3415 · Phone (513) 984-5133
Location 43310 Mercy Health Blvd Ste 220Cincinnati, OH 45211-1120 · Phone (513) 984-5133
Location 5222 Piedmont Ave Ste 4000Cincinnati, OH 45219-4239 · Phone (513) 984-5133
Location 6601 Ivy Gtwy Ste 301Cincinnati, OH 45245-1899 · Phone (513) 984-5133

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brooke Radcliffe is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012423163
PECOS Enrollment IDI20250724000565, I20250731001774
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
1945 CEI DR
BLUE ASH, OH 45242
Optometrist
1945 CEI DR
BLUE ASH, OH 45242
Optometrist
1945 CEI DR
BLUE ASH, OH 45242
Ophthalmology
1945 CEI DR
CINCINNATI, OH 45242
Ophthalmology
1945 CEI DR
BLUE ASH, OH 45242
Optometrist
1945 CEI DR
BLUE ASH, OH 45242
Ophthalmology
1945 CEI DR
CINCINNATI, OH 45242
Optometrist
1945 CEI DR
BLUE ASH, OH 45242

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brooke Radcliffe's NPI number?

The NPI number for Brooke Radcliffe is 1003605114. It was assigned to this individual provider in the NPPES registry on May 5, 2025.

Where is Brooke Radcliffe located?

Brooke Radcliffe practices at 1945 Cei Dr, Blue Ash, OH 45242. The listed phone number is (513) 984-5133.

What is Brooke Radcliffe's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brooke Radcliffe enrolled in Medicare?

Yes. Brooke Radcliffe is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brooke Radcliffe accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and CareSource list Brooke Radcliffe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brooke Radcliffe was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.