Georgia Brookstein

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1800 Novell PL
Provo, UT 84606-6171

Phone

(801) 375-5125

NPI assigned

May 8, 2025

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Rocky Mountain University of Health Professions Foundation

  • Physical Therapist
  • Provo, UT
  • NPI 1053174417
  NPD

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1992595359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 NOVELL PL",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846066171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NOVELL PL",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846066171",
            "telephone_number": "801-375-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKSTEIN",
        "first_name": "GEORGIA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raisa Brandao Brogan
• Barbara Jean Bronson, LCSW
• Chloe Brook, ATC, MSAT
• Michael Brooks, PH.D, J.D.
• Ashley Brooksby
• Kelly Dawn Brose, LCSW
• Stephen Benjamin Brossard, SUDCI
• Jason D Brotherson, A,P.R.N.
• Molly Brotherson, PA
• Tiffany Nicole Brouwer

• Student in an Organized Health Care Education/Training Program in Provo, UT
• Providers in Provo, UT by specialty
• Student in an Organized Health Care Education/Training Program in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.