Active NPI
Brennan Broadway, AGACNP
- Nurse Practitioner
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- C-APN.0103675-C-NP
- Practice address
- 525 Bob Peters GRV Ste 202
Colorado Springs, CO 80909-4533 - Phone
- (719) 365-6568
- Fax
- (719) 365-6317
- NPI assigned
- May 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 31386 | TN | |
| Nurse Practitioner | 363L00000X | C-APN.0103675-C-NP | CO | Primary |
Addresses
Primary practice location
525 Bob Peters GRV Ste 202
Colorado Springs, CO 80909-4533
Mailing address
2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 624-2417
Other practice location 1
1301 Medical Center Dr
Nashville, TN 37232-0028
Phone (615) 509-2280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
525 Bob Peters GRV
Colorado Springs, CO 80909-4533
Phone (719) 365-6568
Hospital & facility affiliations
- Uch-Memorial Health System
- Uchealth Pikes Peak Regional Hospital
- Uchealth Grandview Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31386 | TN | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Vanderbilt University Medical Center | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633
525 Bob Peters Grv
Ste 202
Colorado Springs, CO 80909
Phone (719) 365-6568
4050 Briargate Pkwy
Ste C1100
Colorado Springs, CO 80920
Phone (719) 364-6700
525 Bob Peters Grv
Ste 100
Colorado Springs, CO 80909
Phone (719) 365-6800
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412
Dept A T 40379
Atlanta, GA 31192
Dept AT 40379
Atlanta, GA 31192
719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485
3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842
1301 Medical Center Dr
Nashville, TN 37232
Phone (615) 343-4882
1003 Reserve Blvd
Spring Hill, TN 37174
Phone (615) 875-0358
Organizations & group practices 3
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.
-
- General Practice Physician
- Loveland, CO
- NPI 1366763260
Hospital & facility affiliations 20
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": "1651536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1457096422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805389071",
"telephone_number": "970-624-2417",
"fax_number": "970-490-4173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 BOB PETERS GRV STE 202",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809094533",
"telephone_number": "719-365-6568",
"fax_number": "719-365-6317"
}
],
"practiceLocations": [
{
"address_1": "1301 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372320028",
"country_code": "US",
"telephone_number": "615-509-2280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROADWAY",
"first_name": "BRENNAN",
"credential": "AGACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-03",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TN",
"license": "31386",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "C-APN.0103675-C-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.