Individual provider Active NPI

Brooklyn Hope Pruter

  • Audiologist
  • Colonial Heights, VA
National Provider Identifier
1861116790
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2487 Issued in KS
Practice address
241 Charles H Dimmock Pkwy Ste 6
Colonial Heights, VA 23834-2915
Phone
(804) 765-5320
NPI assigned
Oct 4, 2022
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2201002022 VA
Audiologist 231H00000X 2487 KS Primary

Addresses

Primary practice location

241 Charles H Dimmock Pkwy Ste 6
Colonial Heights, VA 23834-2915

Mailing address

241 Charles H Dimmock Pkwy Ste 6
Colonial Heights, VA 23834-2915
Phone (804) 765-5320

Other practice location 1

5855 Bremo Rd Ste 601
Richmond, VA 23226-1926
Phone (804) 917-4050

Other names 1

  • Brooklyn Hope Shaw Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260203003806 VA Practitioner - Qualified Audiologist 7618455239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Kansas School of Med (KC/Wich/Sal), 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1510 N 28TH St
Richmond, VA 23223-5311

241 Charles H Dimmock Pkwy
Suite 6
Colonial Heights, VA 23834-2915
Phone (804) 765-5320

5855 Bremo Rd
Richmond, VA 23226-1926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2487KSMDAudiologist
2201002022VAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jan 4, 2026 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jan 4, 2026 Accepting new patients

Locations

241 Charles H Dimmock Pkwy
Ste 6
Colonial Heights, VA 23834
Phone (804) 526-1111

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1861116790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 CHARLES H DIMMOCK PKWY STE 6",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342915",
            "telephone_number": "804-765-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 CHARLES H DIMMOCK PKWY STE 6",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342915",
            "telephone_number": "804-765-5320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5855 Bremo Rd Ste 601",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232261926",
            "country_code": "US",
            "telephone_number": "804-917-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUTER",
        "first_name": "BROOKLYN",
        "middle_name": "HOPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201002022",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "2487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKLYN",
            "last_name": "SHAW",
            "middle_name": "HOPE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colonial Heights, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.