Individual provider Active NPI

Brook L McFadden, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Albuquerque, NM
National Provider Identifier
1508903881
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
MD2010-0172 Issued in NM
Practice address
6621 Gulton CT NE
Albuquerque, NM 87109-4407
Phone
(505) 888-0443
Fax
(505) 888-1398
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X MD2010-0172 NM
Gynecology Physician 207VG0400X 35121536 OH
Obstetrics Physician 207VX0000X MD2010-0172 NM
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X MD2010-0172 NM Primary

Addresses

Primary practice location

6621 Gulton CT NE
Albuquerque, NM 87109-4407

Mailing address

6621 Gulton CT NE
Albuquerque, NM 87109-4407
Phone (505) 888-0443

Other practice location 1

4775 Knightsbridge Blvd
Ste 103
Columbus, OH 43214-4313
Phone (614) 442-2200

Other practice location 2

4705 Montgomery Blvd NE Ste 201
Albuquerque, NM 87109-1233
Phone (505) 888-0443

Other identifiers 1

IdentifierTypeStateIssuer
29825334MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20100927000449 NM Practitioner - Obstetrics/Gynecology 6608992797 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Brody School of Medicine at East Carolina University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Medical Associates, LLCGroup PAC ID 7214831114, 326 clinicians

Practice addresses (Care Compare)

6701 Jefferson St NE
Albuquerque, NM 87109-4318
Phone (505) 727-6200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2010-0172NMMDGynecology Physician
35121536OHMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Pelvic Specialty Care of New Mexico, LLC Urogynecology and Reconstructive Pelvic Surgery CurrentSince Nov 1, 2015 Accepting new patients
Southwest Medical Associates, LLC Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Southwest Medical Associates, LLC Family Medicine CurrentSince Apr 1, 2024 Accepting new patients

Locations

4705 Montgomery Blvd NE
Ste 201
Albuquerque, NM 87109
Phone (505) 727-6550

6621 Gulton Ct NE
Albuquerque, NM 87109
Phone (505) 888-0443

4701 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 727-2000

6701 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 727-0600

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

Interoperability endpoints

  • Direct secure messaging: bmcfadden9607@ahs.direct-ci.com

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.

Hospital & facility affiliations 1

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1508903881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 GULTON CT NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094407",
            "telephone_number": "505-888-0443",
            "fax_number": "505-888-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 GULTON CT NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094407",
            "telephone_number": "505-888-0443",
            "fax_number": "505-888-1398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4775 Knightsbridge Blvd",
            "address_2": "Ste 103",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432144313",
            "country_code": "US",
            "telephone_number": "614-442-2200",
            "fax_number": "614-442-1029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4705 Montgomery Blvd NE Ste 201",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871091233",
            "country_code": "US",
            "telephone_number": "505-888-0443",
            "fax_number": "505-888-1398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCFADDEN",
        "first_name": "BROOK",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NM",
            "license": "MD2010-0172",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OH",
            "license": "35121536",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NM",
            "license": "MD2010-0172",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NM",
            "license": "MD2010-0172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29825334",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.