MEDICARE: ELIZABETH B BROOKS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	35-086339	OH
2	208000000X	Pediatrics Physician	35-086339	OH
3	2080P0216X	Pediatric Rheumatology Physician	35-086339	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7287047	OTHER	OH	AETNA
2	745885	OTHER	OH	BUCKEYE
3	000000368506	OTHER	OH	ANTHEM
4	000000525884	OTHER	OH	ANTHEM
5	2153851	OTHER	OH	BCMH
6	000000221208	OTHER	OH	UNISON
7	363382	OTHER	OH	WELLCARE
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205858792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH B BROOKS MD

Provider Business Mailing Address
First Line	:	9500 EUCLID AVENUE/R3
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	CLEVELAND CLINIC 9500 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-1716
Country	:	US
Telephone Number	:	216-445-1099
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	10/22/2021

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