BROOKE R GRIFFIN (MD) – Family Medicine Physician, NPI 1114541356

BROOKE R GRIFFIN (MD) is a healthcare provider. based in Terre haute, Indiana. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 11021044A (IN). The NPI Number for BROOKE R GRIFFIN (MD) is 1114541356

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
BROOKE R GRIFFIN (MD)
NPI
1114541356
Phone
(812) 238-7631
Address
1530 N 7TH ST STE 200
Enumeration Date
3 June 2020
Last Update Date
11 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8122387631
Graduation Year
2019 (7 years ago)
PAC ID
9739502626
Group Practice PAC ID
7618067265
Professional Enrollment ID
I20230719001867
Address ID
IN478071061TE1530XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

2,862 FAMILY PRACTICE in IN

Provider Addresses for BROOKE R GRIFFIN (MD)

  • 1530 N 7TH ST STE 200

    TERRE HAUTE, IN 478071061

    Phone: (812) 238-7631

    Fax: (812) 238-7003

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $625.

Total Amount is formed as General ($625) + Research ($0) + Ownership ($0) = $625.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Amgen Inc. ($137).

Total Amount

$625

General + Research + Ownership

Payments

34

Total payment records

General Amount

$625

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-07-19

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
I20230719001867IFamily PracticeINTBD

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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 47807)

Loading plans...

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: 7618067265View full group profile
NameSpecialtyState
-IN
Clinical Social WorkerIN
Nurse PractitionerIN
-IN
Clinical Social WorkerIN
-IN
Clinical Social WorkerIN
Clinical PsychologistIN
Nurse PractitionerIN
Family PracticeIN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for BROOKE R GRIFFIN (MD)?
BROOKE R GRIFFIN (MD) — NPI 1114541356 — is the standard way to identify this listing.
Is BROOKE R GRIFFIN (MD) listed as active for patients and plans?
The listing shows BROOKE R GRIFFIN (MD) as active in the NPI system.
What is BROOKE R GRIFFIN (MD)'s primary classification?
Family Medicine Physician is the headline specialty for BROOKE R GRIFFIN (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for BROOKE R GRIFFIN (MD)?
BROOKE R GRIFFIN (MD)'s geographic hint is Terre Haute, Indiana in our summary view.
Why does BROOKE R GRIFFIN (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

DR. GRACE LEE WALKER (M.D.)

Family Medicine Physician
476, Buckeye Street, Terre Haute, Vigo County, Indiana, 47804, United States
NPI: 1134123607

PAULA J MARKET (MD)

Family Medicine Physician
South 7th Street, Terre Haute, Vigo County, Indiana, 47802, United States
NPI: 1730178906

MR. HOWARD C RAY (MD)

Family Medicine Physician
3387 S US HIGHWAY 41
NPI: 1306836218

AMBUCARE CLINIC

Family Medicine Physician
3387 S US HIGHWAY 41
NPI: 1013907922

DAVID ALLEN BREITWEISER (M.D.)

Family Medicine Physician
LabCorp, 2723, South 7th Street, Terre Haute, Vigo County, Indiana, 47802, United States
NPI: 1194715854

JANIS C INGEBRIGTSEN (MD)

Family Medicine Physician
Andrew Jacobs Jr. Post Office, 125, West South Street, Old Southside, Indianapolis, Marion County, Indiana, 46206, United States
NPI: 1609867357

BING WANG GALE (MD)

Family Medicine Physician
4757, South 7th Street, Terre Haute, Vigo County, Indiana, 47802, United States
NPI: 1396736039

DANIEL P KELLAR (MD)

Family Medicine Physician
Andrew Jacobs Jr. Post Office, 125, West South Street, Old Southside, Indianapolis, Marion County, Indiana, 46206, United States
NPI: 1467443119

Union Hospital Family Medicine Center

Family Medicine Physician
Andrew Jacobs Jr. Post Office, 125, West South Street, Old Southside, Indianapolis, Marion County, Indiana, 46206, United States
NPI: 1508857145