OLE BROOK KIDS, P.C.
NPI 1649051046
Nurse Practitioner - Pediatrics in Brookhaven, MS

Q: What is Ole Brook Kids, P.C.'s NPI number?

The NPI number for Ole Brook Kids, P.C. is 1649051046. It was assigned to this organization in the NPPES registry on October 11, 2023. The provider is doing business as Ole Brook Kids Wellness and Urgent Care.

Q: What is Ole Brook Kids, P.C.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since October 11, 2023

508 BROOKWAY BLVD, BROOKHAVEN, MS 39601(601) 835-1062 Get Directions Write a Review

NPPES record last updated: January 25, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 25, 2026, Oct 11, 2023 (2 updates tracked since 2023).

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About Ole Brook Kids, P.c. NPPES

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

OLE BROOK KIDS, P.C. (NPI 1649051046), doing business as Ole Brook Kids Wellness And Urgent Care, is a healthcare organization registered as a pediatrics in Brookhaven, Mississippi and active in the NPI registry since October 2023. The organization maintains a secondary practice location in Brookhaven and lists Amber Nicole Martin, Owner/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1649051046

Entity TypeOrganization

Primary Taxonomy363LP0200X

Legal Business NameOLE BROOK KIDS, P.C.

Location Address508 BROOKWAY BLVDBrookhaven, MS 39601-3267

Mailing AddressPo Box 1403Brookhaven, MS 39602-1403 · (601) 757-9689

Phone(601) 835-1062

Organization SubpartNo

Authorized OfficialAmber Nicole MartinOwner/nurse Practitioner · (601) 757-9689

Enumeration DateOctober 11, 2023

Last NPPES UpdateJanuary 25, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 25, 2026

✔ NPI 1649051046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

508 BROOKWAY BLVD, Brookhaven, MS 39601

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Other Names 1

Doing Business AsOle Brook Kids Wellness And Urgent Care

Secondary Practice Location 1

Location 1301C Highway 51 SBrookhaven, MS 39601-3247 · Phone (601) 835-1062 · Fax (601) 835-9233

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MRS. EMILY CATHERINE GANDENBERGER CPNP-PC

Nurse Practitioner (Pediatrics)

508 BROOKWAY BLVD
BROOKHAVEN, MS 39601

Lincoln County (601) 896-3898

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 Ole Brook Kids, P.C.'s NPI number?

The NPI number for Ole Brook Kids, P.C. is 1649051046. It was assigned to this organization in the NPPES registry on October 11, 2023. The provider is doing business as Ole Brook Kids Wellness and Urgent Care.

Where is Ole Brook Kids, P.C. located?

Ole Brook Kids, P.C. is located at 508 Brookway Blvd, Brookhaven, MS 39601. The listed phone number is (601) 835-1062.

What is Ole Brook Kids, P.C.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Ole Brook Kids, P.C. was last updated on January 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.