DR. BROOKE MORGAN GEDRICK (D.O) – Sports Medicine (Emergency Medicine) Physician, NPI 1699093328

DR. BROOKE MORGAN GEDRICK (D.O) is a healthcare provider. based in Augusta, Georgia. specializing in Sports Medicine (Emergency Medicine) Physician. They hold the professional credentials D.O. They hold a License No. 75463 (GA). The NPI Number for DR. BROOKE MORGAN GEDRICK (D.O) is 1699093328

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. BROOKE MORGAN GEDRICK (D.O)
NPI
1699093328
Phone
(706) 721-3813
Address
1120 15TH ST
Enumeration Date
5 May 2010
Last Update Date
28 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7067229011
Graduation Year
2010 (16 years ago)
PAC ID
5092030312
Group Practice PAC ID
6608977251
Professional Enrollment ID
I20160225001799
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:16State licenses:2Digital endpointsOther names

Provider Addresses for DR. BROOKE MORGAN GEDRICK (D.O)

  • 1120 15TH ST

    STE BI1056

    AUGUSTA, GA 309120004

    Phone: (706) 721-3813

    Type: Mailing

  • 15855 19 MILE RD

    CLINTON TOWNSHIP, MI 480383504

    Phone: (586) 263-2952

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-02-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160225001799IEmergency MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making219213$0
99284Emergency department visit with moderate level of medical decision making110106$0
99291Critical care, first 30-74 minutes6563$0
99283Emergency department visit with low level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 30912)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608977251View full group profile

Reviews

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Frequently asked questions

How is DR. BROOKE MORGAN GEDRICK (D.O) identified in CMS data?
CMS-hosted NPPES data lists DR. BROOKE MORGAN GEDRICK (D.O) with NPI 1699093328.
Does the file indicate DR. BROOKE MORGAN GEDRICK (D.O) is practicing under active NPI?
Directory data currently reports DR. BROOKE MORGAN GEDRICK (D.O) as active.
What taxonomy line describes DR. BROOKE MORGAN GEDRICK (D.O)?
For research purposes, treat DR. BROOKE MORGAN GEDRICK (D.O) as Sports Medicine (Emergency Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. BROOKE MORGAN GEDRICK (D.O) based?
DR. BROOKE MORGAN GEDRICK (D.O) is tied to Augusta, Georgia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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