Individual provider Active NPI

Brooke Danielle Conzo, D.C.

  • Chiropractor
  • Albuquerque, NM
National Provider Identifier
1760819130
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2092 Issued in NM
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, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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.

Verify at the official NPI Registry.