BRIANNE ALYSE BROOKER PHD
NPI 1619346285
Clinical Neuropsychologist in Grand Rapids, MI

Q: What is Brianne Brooker's NPI number?

The NPI number for Brianne Brooker is 1619346285. It was assigned to this individual provider in the NPPES registry on September 24, 2015.

Q: What is Brianne Brooker's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Brianne Brooker was last updated on February 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 24, 2015PECOS Enrolled

35 MICHIGAN ST NE STE 5201, GRAND RAPIDS, MI 49503(616) 267-2830 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 16, 2021, Oct 5, 2020 (2 updates tracked since 2020).

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About Brianne Alyse Brooker Phd NPPES

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

BRIANNE ALYSE BROOKER PHD (NPI 1619346285) is an individual clinical neuropsychologist in Grand Rapids, Michigan, licensed in Michigan (6301016161) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619346285

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameBRIANNE ALYSE BROOKERCredential: PHD

Location Address35 MICHIGAN ST NE STE 5201Grand Rapids, MI 49503-2530

Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560

Phone(616) 267-2830

Sole ProprietorNo

Enumeration DateSeptember 24, 2015

Last NPPES UpdateFebruary 16, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2021

✔ NPI 1619346285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in MI · 6301016161

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 6301016161 (MI)

35 MICHIGAN ST NE STE 5201, Grand Rapids, MI 49503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brianne Alyse Brooker Phd 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 20

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

MRS. AMY E PUGH PSYD

Psychologist (Clinical Child & Adolescent)