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NPI Code Detail

MEDICARE: BROOKE A CRUM DO

MEDICARE: BROOKE A CRUM DO
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
1208000000XPediatrics Physician34.013919OH
22080P0204XPediatric Emergency Medicine (Pediatrics) Physician34.013919OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518491745
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE A CRUM DO
Provider Business Mailing Address
First Line : 700 CHILDRENS DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2664
Country : US
Telephone Number : 614-722-2000
Fax Number :
Provider Business Practice Location Address
First Line : 700 CHILDRENS DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2664
Country : US
Telephone Number : 614-722-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2017
Last Update Date : 04/06/2026

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Directions to “ BROOKE A CRUM DO” Practice Location

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