Individual provider Active NPI

Andrew David Brooks, DO

  • Family Medicine Physician
  • Basalt, CO
National Provider Identifier
1982285649
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR0071986 Issued in CO
Practice address
1450 E Valley Rd Unit 102
Basalt, CO 81621-8352
Phone
(970) 927-4666
Fax
(833) 931-3167
NPI assigned
Apr 15, 2021
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR0071986 CO Primary

Addresses

Primary practice location

1450 E Valley Rd Unit 102
Basalt, CO 81621-8352

Mailing address

1450 E Valley Rd Unit 102
Basalt, CO 81621-8352
Phone (970) 927-4666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260407000690 CO Practitioner - Family PracticePractitioner - Preventive Medicine 6901208891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Preventive Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midvalley Family Practice PCGroup PAC ID 2668577081, 4 clinicians

Practice addresses (Care Compare)

1450 E Valley Rd
Basalt, CO 81621-8352
Phone 9709274666207

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR0071986COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midvalley Family Practice PC Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: andrew.brooks.1@19942.direct.athenahealth.com
  • Direct secure messaging: andrew.brooks@hca3.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1982285649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 E VALLEY RD UNIT 102",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218352",
            "telephone_number": "970-927-4666",
            "fax_number": "833-931-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E VALLEY RD UNIT 102",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218352",
            "telephone_number": "970-927-4666",
            "fax_number": "833-931-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "ANDREW",
        "middle_name": "DAVID",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-15",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR0071986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basalt, CO

Sources for this page

Verify at the official NPI Registry.