Individual provider Active NPI

Brooke Christine Bredbeck, MD

  • Surgery Physician
  • Gunnison, CO
National Provider Identifier
1003268129
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DR.0075614 Issued in CO
Practice address
711 N Taylor St
Gunnison, CO 81230-2208
Phone
(970) 641-1456
NPI assigned
Jul 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301500919 MI
Surgery Physician 208600000X DR.0075614 CO Primary

Addresses

Primary practice location

711 N Taylor St
Gunnison, CO 81230-2208

Mailing address

711 N Taylor St
Gunnison, CO 81230-2208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250716000701 CO Practitioner - General Surgery 7517250103 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Colorado School of Medicine, Aurora, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lutheran Hospital Association of the San Luis ValleyGroup PAC ID 4789589094, 146 clinicians
Gunnison Valley HospitalGroup PAC ID 8426040486, 81 clinicians

Practice addresses (Care Compare)

106 Blanca Ave
Alamosa, CO 81101-2340
Phone (713) 589-3000

707 N Iowa St
Gunnison, CO 81230-2229

711 N Taylor St
Gunnison, CO 81230-2208
Phone (970) 641-1456

711 N Taylor St
GVH Derm
Gunnison, CO 81230-2243
Phone (970) 641-3927

Hospital & facility affiliations

  • Gunnison Valley Hospital Hospital, Gunnison, CO, CCN 061320
  • San Luis Valley Regional Medical Center Hospital, Alamosa, CO, CCN 060008

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Varicose vein removal1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0075614COMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Aug 19, 2024 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Aug 19, 2024 Accepting new patients
Lakeland Medical Practices CurrentSince Jul 11, 2023 Accepting new patients
Gunnison Valley Hospital CurrentSince Jul 1, 2025 Accepting new patients
Gunnison Valley Hospital CurrentSince Jul 1, 2025 Accepting new patients
Lutheran Hospital Association of the San Luis Valley CurrentSince Oct 10, 2025 Accepting new patients
Lutheran Hospital Association of the San Luis Valley CurrentSince Oct 10, 2025 Accepting new patients
Gunnison Valley Hospital CurrentSince Dec 1, 2025 Accepting new patients
Lakeland Medical Practices CurrentSince Jul 11, 2023 Accepting new patients
Gunnison Valley Hospital Current Accepting new patients

Locations

106 Blanca Ave
Alamosa, CO 81101
Phone (719) 589-2511

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

711 N Taylor St
Gunnison, CO 81230
Phone (970) 641-1456

707 N Iowa St
Gunnison, CO 81230
Phone (970) 641-1771

3900 Hollywood Rd
Saint Joseph, MI 49085
Phone (269) 428-4411

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 20

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1003268129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N TAYLOR ST",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N TAYLOR ST",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302208",
            "telephone_number": "970-641-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREDBECK",
        "first_name": "BROOKE",
        "middle_name": "CHRISTINE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301500919",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0075614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gunnison, CO

Sources for this page

Verify at the official NPI Registry.