Abigail Brodeur, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1801 16TH St
Greeley, CO 80631-5154

Phone

(970) 810-5996

NPI assigned

Mar 14, 2024

Last updated

Mar 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Banner Health Physicians Colorado LLCGroup PAC ID 8921273038, 278 clinicians

Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner North Colorado Medical Center Hospital, Greeley, CO, CCN 060001
• East Morgan County Hospital Hospital, Brush, CO, CCN 061303
• Sterling Regional Medcenter Hospital, Sterling, CO, CCN 060076
• Banner Fort Collins Medical Center Hospital, Fort Collins, CO, CCN 060126

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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

• Banner Health Physicians Colorado LLC

  • Multi-Specialty Clinic/Center
  • Greeley, CO
  • NPI 1073899134
  Medicare reassignment Care Compare group NPD
• Banner Health Physicians Colorado LLC

  • Multi-Specialty Clinic/Center
  • Torrington, WY
  • NPI 1215375688
  NPD
• Banner Health Physicians Colorado LLC

  • Multi-Specialty Clinic/Center
  • Windsor, CO
  • NPI 1831476381
  NPD (past)

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

• Banner Health

  dba Banner Fort Collins Medical Center

  • General Acute Care Hospital
  • Fort Collins, CO
  • NPI 1659787554
  Care Compare affiliation
• East Morgan County Hospital

  • Critical Access Hospital
  • Brush, CO
  • NPI 1699708743
  Care Compare affiliation
• North Colorado Medical Center

  • General Acute Care Hospital
  • Loveland, CO
  • NPI 1174231682
  Care Compare affiliation
• North Colorado Medical Center

  • Critical Access Hospital
  • Greeley, CO
  • NPI 1255971404
  Care Compare affiliation
• North Colorado Medical Center

  • Ambulance
  • Greeley, CO
  • NPI 1457850430

  Hospital

  Care Compare affiliation
• North Colorado Medical Center

  • General Acute Care Hospital
  • Greeley, CO
  • NPI 1477376986
  Care Compare affiliation
• North Colorado Medical Center

  • Special Hospital
  • Loveland, CO
  • NPI 1487535431
  Care Compare affiliation
• North Colorado Medical Center

  • Critical Access Hospital
  • Greeley, CO
  • NPI 1578103750
  Care Compare affiliation
• North Colorado Medical Center

  • Emergency Care Clinic/Center
  • Greeley, CO
  • NPI 1588928519

  Hospital

  Care Compare affiliation
• North Colorado Medical Center

  • Infusion Therapy Clinic/Center
  • Loveland, CO
  • NPI 1700668183

  Hospital

  Care Compare affiliation
• North Colorado Medical Center

  • General Acute Care Hospital
  • Greeley, CO
  • NPI 1720004450
  Care Compare affiliation
• North Colorado Medical Center

  • Critical Access Hospital
  • Greeley, CO
  • NPI 1831739267
  Care Compare affiliation

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1134988017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315154",
            "telephone_number": "970-810-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODEUR",
        "first_name": "ABIGAIL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Broadview Health and Rehabilitation Center LLC (Broadview Health and Rehabilitation Center)
• Broadvistas Psychology, LLC
• Kayla Brobbey, BS, MATERS INTERN
• Alyssa J Brock-Moore
• Kathryn A Brockman, LPC
• Zachary Dillon Brodie, DO
• Donna M Brogmus, MD
• Susan Bromley, PSY.D.
• Judd Bronson, D.C.
• Lynne Bronson, D.C.

• Physician Assistant in Greeley, CO
• Providers in Greeley, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.