Active NPI
Brooke Danielle Conzo, D.C.
- Chiropractor
- Albuquerque, NM
National Provider Identifier
1760819130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2092
- Practice address
- 7930 Wyoming Blvd NE
Suite B
Albuquerque, NM 87109-6018 - Phone
- (505) 247-1000
- NPI assigned
- Oct 1, 2013
- Last updated
- Dec 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2092 | NM | Primary |
Addresses
Primary practice location
7930 Wyoming Blvd NE
Suite B
Albuquerque, NM 87109-6018
Mailing address
6350 Eubank Blvd NE
Apt 1223
Albuquerque, NM 87111-7358
Phone (386) 506-2829
Other names 1
- Brooke Danielle Walker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449100800000",
"number": "1760819130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6350 EUBANK BLVD NE",
"address_2": "APT 1223",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871117358",
"telephone_number": "386-506-2829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7930 WYOMING BLVD NE",
"address_2": "SUITE B",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871096018",
"telephone_number": "505-247-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONZO",
"first_name": "BROOKE",
"middle_name": "DANIELLE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-01",
"last_updated": "2015-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NM",
"license": "2092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BROOKE",
"last_name": "WALKER",
"middle_name": "DANIELLE",
"code": "1",
"type": "Former Name"
}
]
}
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 Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.