RYAN BROOKS
NPI 1053930008
Student in an Organized Health Care Education/Training Program in Olympia Fields, IL

Active since April 09, 2020PECOS Enrolled
20201 S. CRAWFORD, ATTN: POSTDOCTORAL EDUCATION, OLYMPIA FIELDS, IL 60461(708) 747-4000 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ryan Brooks NPPES

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

RYAN BROOKS (NPI 1053930008) is an individual student in an organized health care education/training program in Olympia Fields, Illinois and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053930008
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRYAN BROOKS
Location Address20201 S. CRAWFORD, ATTN: POSTDOCTORAL EDUCATIONOlympia Fields, IL 60461
Mailing Address2150 S 55th St Apt 3124Tempe, AZ 85282-2379 · (847) 305-0088
Sole ProprietorNo
Enumeration DateApril 9, 2020
NPPES CertifiedApril 9, 2020
NPI 1053930008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
20201 S. CRAWFORD, Olympia Fields, IL 60461

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ryan Brooks is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 9

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

Emergency Medicine
20201 S. CRAWFORD
OLYMPIA FIELDS, IL 60461
Student in an Organized Health Care Education/Training Program
20201 S. CRAWFORD
OLYMPIA FIELDS, IL 60461
Student in an Organized Health Care Education/Training Program
20201 S. CRAWFORD
OLYMPIA FIELOS, IL 60461
Hospitalist
20201 S. CRAWFORD
OLYMPIA FIELDS, IL 60461
Emergency Medicine
20201 S. CRAWFORD
OLYMPIA FIELDS, IL 60461
Student in an Organized Health Care Education/Training Program
20201 S. CRAWFORD, ATTN: GRADUATE MEDICAL EDUCATION
OLYMPIA FIELDS, IL 60461
Student in an Organized Health Care Education/Training Program
20201 S. CRAWFORD, ATTN: POSTDOCTORAL EDUCATION
OLYMPIA FIELDS, IL 60461
Student in an Organized Health Care Education/Training Program
20201 S. CRAWFORD, ATTN: POSTDOCTORAL EDUCATION
OLYMPIA FIELDS, IL 60461

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 Ryan Brooks's NPI number?

The NPI number for Ryan Brooks is 1053930008. It was assigned to this individual provider in the NPPES registry on April 9, 2020.

Where is Ryan Brooks located?

Ryan Brooks practices at 20201 S. Crawford Attn: Postdoctoral Education, Olympia Fields, IL 60461. The listed phone number is (708) 747-4000.

What is Ryan Brooks's specialty?

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

Is Ryan Brooks enrolled in Medicare?

Yes. Ryan Brooks is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Brooks was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.