Individual provider Active NPI

Brooke Berger Lipow, MSN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1861150807
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
95019341 Issued in CA
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

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Cortica Healthcare Inc Past Accepting new patients
Raun D. Melmed Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brooke.berger.lipow.1@14973.direct.athenahealth.com
  • FHIR API: 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.

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.

Verify at the official NPI Registry.