Active NPI
Brooke Berger Lipow, MSN, CPNP-PC
- Pediatric Nurse Practitioner
- Glendale, CA
National Provider Identifier
1861150807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 95019341
- Practice address
- 611 N Brand Blvd Ste 100
Glendale, CA 91203-3240 - Phone
- (747) 286-2600
- NPI assigned
- Dec 7, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 95019341 | CA | Primary |
Addresses
Primary practice location
611 N Brand Blvd Ste 100
Glendale, CA 91203-3240
Mailing address
2314 S Val Vista Dr Ste 201
Gilbert, AZ 85295-5594
Phone (208) 651-0875
Other practice location 1
2314 S Val Vista Dr Ste 201
Gilbert, AZ 85295-5594
Phone (623) 263-3968
Other practice location 2
3401 Quebec St Ste 110
Denver, CO 80207-2322
Phone (720) 706-3396
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
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cortica Healthcare Inc | Past | Accepting new patients | |
| Raun D. Melmed | Past | Accepting new patients |
Interoperability endpoints
- brooke.berger.lipow.1@14973.direct.athenahealth.com
- https://api.platform.athenahealth.com/14973/brand/8/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Health Service Clinic/Center
- San Diego, CA
- NPI 1801288535
-
- Developmental - Behavioral Pediatrics Physician
- Scottsdale, AZ
- NPI 1518085539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1861150807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2314 S VAL VISTA DR STE 201",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852955594",
"telephone_number": "208-651-0875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 N BRAND BLVD STE 100",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912033240",
"telephone_number": "747-286-2600"
}
],
"practiceLocations": [
{
"address_1": "2314 S Val Vista Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852955594",
"country_code": "US",
"telephone_number": "623-263-3968",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3401 Quebec St Ste 110",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802072322",
"country_code": "US",
"telephone_number": "720-706-3396",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIPOW",
"first_name": "BROOKE",
"middle_name": "BERGER",
"credential": "MSN, CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-07",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "95019341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.