NPIMap

Individual provider Active NPI

Brooke M Halliwell, DO

  • Obstetrics & Gynecology Physician
  • Glenwood SPGS, CO
National Provider Identifier
1508078759
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
49947 Issued in 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
Last updated
Dec 31, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OT012106 PA
Obstetrics & Gynecology Physician 207V00000X 49947 CO Primary

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 names 1

  • Brooke M Bengtson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120816000669 CO Practitioner - Obstetrics/Gynecology 3274789771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley View Hospital AssociationGroup PAC ID 1850294778, 205 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49947COMDObstetrics & Gynecology Physician
OT012106PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley View Hospital Association Current Accepting new patients
Valley View Hospital Association CurrentSince Jun 7, 2012 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

  • Direct secure messaging: brooke.halliwell.1@9028.direct.athenahealth.com
  • Direct secure messaging: vvh_him@direct.vvh.org

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1508078759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 BLAKE AVENUE",
            "address_2": "SUITE 208",
            "city": "GLENWOOD SPGS",
            "state": "CO",
            "postal_code": "816014592",
            "telephone_number": "970-945-2238",
            "fax_number": "970-928-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 BLAKE AVENUE",
            "address_2": "SUITE 208",
            "city": "GLENWOOD SPGS",
            "state": "CO",
            "postal_code": "816014592",
            "telephone_number": "970-945-2238",
            "fax_number": "970-928-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLIWELL",
        "first_name": "BROOKE",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OT012106",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "49947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "BENGTSON",
            "middle_name": "M",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glenwood SPGS, CO

Sources for this page

Verify at the official NPI Registry.