Brooke McIntosh Aber, P.A.

Individual provider Active NPI Surgical Physician Assistant · Pleasant Hill, CA

NPI 1790716074 · NPPES record last updated Dec 2, 2024

Key facts

NPI
1790716074
Entity type
Individual (NPI type 1)
Primary specialty
Surgical Physician Assistant 363AS0400X
License
PA15541 (CA)
Practice address
2250 Morello Ave
Pleasant Hill, CA 94523-1860
Phone
(925) 287-1256
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20051004001130 CA Practitioner - Physician Assistant 0143255513 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Orthopedics & Spine Current
since Jan 1, 2002
Accepting new patients
Bass Medical Group Current
since Jun 15, 2018
Accepting new patients
Bass Medical Group Current
since Jun 15, 2018
Accepting new patients
Golden State Orthopedics & Spine Current
since Jan 1, 2002
Accepting new patients
Bass Medical Group Past Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

350 John Muir Pkwy
Ste 155
Brentwood, CA 94513

2250 Morello Ave
Pleasant Hill, CA 94523
Phone 9252871256121

5201 Norris Canyon Rd
Ste 230
San Ramon, CA 94583
Phone (925) 244-9355

2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424

2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820

Interoperability endpoints

  • Direct secure messaging: baber17979@ehr.johnmuirhealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA15541 CA
Surgical Physician Assistant 363AS0400X PA15541 CA Yes

Addresses

Primary practice location

2250 Morello Ave
Pleasant Hill, CA 94523-1860

Mailing address

2250 Morello Ave
Pleasant Hill, CA 94523-1860

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 2, 2024.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1790716074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 MORELLO AVE",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 MORELLO AVE",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231860",
            "telephone_number": "925-287-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABER",
        "first_name": "BROOKE",
        "middle_name": "MCINTOSH",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15541",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA15541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

All providers in Pleasant Hill, CA · Surgical Physician Assistant in California

Sources for this page

Verify at the official NPI Registry.