Active NPI
Brook L McFadden, MD
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- License
- MD2010-0172
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29825334 | Medicaid | NM |
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
Enrollment records 1
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
Practice addresses (Care Compare)
6701 Jefferson St NE
Albuquerque, NM 87109-4318
Phone (505) 727-6200
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2010-0172 | NM | MD | Gynecology Physician |
| 35121536 | OH | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women's Pelvic Specialty Care of New Mexico, LLC | Urogynecology and Reconstructive Pelvic Surgery | Current | Accepting new patients |
| Southwest Medical Associates, LLC | Family Medicine | Current | Accepting new patients |
| Southwest Medical Associates, LLC | Family Medicine | Current | 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
- 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.
-
dba Lovelace Medical Group
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
Family Medicine
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Albuquerque, NM
- NPI 1629471032
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lovelace Women's Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1982799375
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.