Brooke M Halliwell, DO
Individual provider Active NPI Obstetrics & Gynecology Physician · Glenwood SPGS, CO
NPI 1508078759 · NPPES record last updated Dec 31, 2013
Key facts
- NPI
- 1508078759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 49947 (CO)
- Practice address
- 1830 Blake Avenue
Suite 208
Glenwood SPGS, CO 81601-4592 - Phone
- (970) 945-2238
- Fax
- (970) 928-8926
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 24
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Valley View Hospital Association
Practice addresses (Care Compare)
1830 Blake Ave
Glenwood Springs, CO 81601-4261
1830 Blake Ave
Suite 101
Glenwood Springs, CO 81601-4275
Phone (970) 384-8028
1906 Blake Ave
Glenwood SPGS, CO 81601-4227
Phone (970) 945-6533
1906 Blake Ave
Glenwood SPGS, CO 81601-4259
350 Market St
Unit 201
Basalt, CO 81621-7403
Phone (970) 945-6533
Hospital & facility affiliations
- Valley View Hospital Association
- Aspen Valley Hospital District
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120816000669 | CO | Practitioner - Obstetrics/Gynecology | 3274789771 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49947 | CO | MD | Obstetrics & Gynecology Physician |
| OT012106 | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley View Hospital Association | Current | Accepting new patients | |
| Valley View Hospital Association | Current |
Accepting new patients | |
| Valley View Hospital Association | Current | Accepting new patients |
Locations
1830 Blake Ave
Ste 208
Glenwood Springs, CO 81601
Phone (970) 945-2238
1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033
Interoperability endpoints
- brooke.halliwell.1@9028.direct.athenahealth.com
- vvh_him@direct.vvh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | OT012106 | PA | |
| Obstetrics & Gynecology Physician | 207V00000X | 49947 | CO | Yes |
Addresses
Primary practice location
1830 Blake Avenue
Suite 208
Glenwood SPGS, CO 81601-4592
Mailing address
1830 Blake Avenue
Suite 208
Glenwood SPGS, CO 81601-4592
Phone (970) 945-2238
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49947 | Other | CO | LICENSE |
| 1508078759 | Other | NPI | |
| 61273546 | Medicaid | CO |
Other names
- Brooke M Bengtson
Other providers in Glenwood SPGS, CO
- Karen Church
- Kathleen Ann Feinsinger
- Leslie E Fuller
- Glenwood Springs Anesthesiologists PC
- Michael B Grillot
- George F Holmes
- Karen Church Physical Therapy P C
- Suresh Khilnani
- Robert M Macaulay
- Emily R McCarty
All providers in Glenwood SPGS, CO · Obstetrics & Gynecology Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.