Justin Lee Brooke, MD
Individual provider Active NPI Emergency Medicine Physician · Denver, CO
NPI 1760185334 · NPPES record last updated Aug 3, 2026
Key facts
- NPI
- 1760185334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- DR.0077045 (CO)
- Practice address
- 777 Bannock St # Mc0108
Denver, CO 80204-4597 - Phone
- (303) 602-5193
- NPI assigned
- Mar 23, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Pennsylvania State University College of Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10350 E Dakota Ave
Denver, CO 80247-1314
PO Box
Suite 110429
Aurora, CO 80042
Hospital & facility affiliations
- Middle Park Medical Center
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 |
|---|---|---|---|---|
| I20260618003717 | CO | Practitioner - Emergency Medicine | 3173095205 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0077045 | CO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Colorado | Current | Accepting new patients |
Interoperability endpoints
- jbrooke264815@direct.childrenscolorado.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | DR.0077045 | CO | Yes |
Addresses
Primary practice location
777 Bannock St # Mc0108
Denver, CO 80204-4597
Mailing address
777 Bannock St # Mc0108
Denver, CO 80204-4597
Phone (303) 602-5193
Other practice location 1
12605 E 16th Ave
Aurora, CO 80045-2520
Phone (720) 848-0000
Other practice location 2
10350 E Dakota Ave
Denver, CO 80247-1314
Phone (303) 338-4545
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Other providers in Denver, CO
- Macy Bronson
- Alvin C Bronstein
- Magdalene Anastacia Brooke Sanchez
- Brooke Tangen Huus, LLC
- John Daniel Brooke
- Deborah Rose Brooks
- Kirsten Brooks
- Kristal Brooks
- Shannon Michele Brooks
- Vickie Brooks
All providers in Denver, CO · Emergency Medicine 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 Aug 3, 2026. 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.