Individual provider Active NPI

Brooke Ellen Budde, DO

  • Pediatrics Physician
  • Marshall, NC
National Provider Identifier
1871530360
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2010-00706 Issued in NC
Practice address
590 Medical Park Dr
Marshall, NC 28753-6807
Phone
(828) 649-3500
Fax
(828) 649-1032
NPI assigned
Jun 1, 2006
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 5101015257 MI
Pediatrics Physician 208000000X 2010-00706 NC Primary

Addresses

Primary practice location

590 Medical Park Dr
Marshall, NC 28753-6807

Mailing address

PO Box 69
Marshall, NC 28753-0069
Phone (828) 649-9566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110324000645 NC Practitioner - Pediatric Medicine 6406871490 Reassigns benefits to 2 organizations
I20221111001656 TX Practitioner - Pediatric Medicine 6406871490 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101015257MIMDPediatrics Physician
2010-00706NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Indian Hospital Authority Pediatrics CurrentSince Jul 14, 2022 Accepting new patients
Cherokee Indian Hospital Authority CurrentSince Jul 14, 2022 Accepting new patients
Cherokee Indian Hospital Authority Current Accepting new patients
Hot Springs Health Program, Inc. CurrentSince Feb 19, 2024 Accepting new patients
Haywood Women's Medical Center, PA Past Accepting new patients
Cherokee Indian Hospital Authority Past Accepting new patients

Locations

119 Mountain View Rd
Mars Hill, NC 28754
Phone (828) 689-3491

590 Medical Park Dr
Marshall, NC 28753
Phone (828) 649-3500

Interoperability endpoints

  • Direct secure messaging: bbudde371554@direct.ochin.org
  • Direct secure messaging: brooke.budde.1@9865.direct.athenahealth.com

Organizations & group practices 8

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1871530360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "MARSHALL",
            "state": "NC",
            "postal_code": "287530069",
            "telephone_number": "828-649-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MEDICAL PARK DR",
            "city": "MARSHALL",
            "state": "NC",
            "postal_code": "287536807",
            "telephone_number": "828-649-3500",
            "fax_number": "828-649-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDDE",
        "first_name": "BROOKE",
        "middle_name": "ELLEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5101015257",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2010-00706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, NC

Sources for this page

Verify at the official NPI Registry.