Individual provider Active NPI

Brooke Penedo Martin, APRN

  • Family Nurse Practitioner
  • Anderson, SC
National Provider Identifier
1609660968
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30204 Issued in SC
Practice address
2000 E Greenville St Ste 2800
Anderson, SC 29621-1722
Phone
(864) 512-7636
NPI assigned
Apr 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 30204 SC Primary

Addresses

Primary practice location

2000 E Greenville St Ste 2800
Anderson, SC 29621-1722

Mailing address

2000 E Greenville St Ste 2800
Anderson, SC 29621-1722

Other practice location 1

800 N Fant St
Anderson, SC 29621-5708
Phone (864) 512-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250602003393 SC Practitioner - Nurse Practitioner 4385153253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anmed HealthGroup PAC ID 1951215243, 348 clinicians

Practice addresses (Care Compare)

2000 E Greenville St
Suite 2800
Anderson, SC 29621-1722
Phone (864) 512-3900

Hospital & facility affiliations

  • Anmed Health Hospital, Anderson, SC, CCN 420027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
30204SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health CurrentSince Jun 3, 2025 Accepting new patients
Anmed Health CurrentSince Jun 3, 2025 Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health Past Accepting new patients

Locations

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131

2000 E Greenville St
Ste 2800
Anderson, SC 29621
Phone (864) 226-7636

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

2110 Highway 86
Ste H
Piedmont, SC 29673
Phone (864) 512-7636

Interoperability endpoints

  • Direct secure messaging: bmartin86003@direct.anmedhealth.net

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 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": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1609660968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E GREENVILLE ST STE 2800",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E GREENVILLE ST STE 2800",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211722",
            "telephone_number": "864-512-7636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 N Fant St",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296215708",
            "country_code": "US",
            "telephone_number": "864-512-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BROOKE",
        "middle_name": "PENEDO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "30204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.