BROOKE LUDWIG (NPI# 1134750110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134750110 |
| Entity Type | Individual |
| Full Name | BROOKE LUDWIG |
| Practice Address |
3435 E Pony Express Pkwy Ste 140 Eagle Mountain UT 84005-5548 |
| Mailing Address |
2046 E Summer Way Eagle Mountain UT 84005-4260 |
| Practice Telephone | 8017892444 |
| Practice Fax Number | 8017892045 |
| Mailing Telephone | 8016338436 |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
8642879-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9600 S 1300 E Ste 230, Sandy, UT 840943785 | 8015717777 | 8015231848 |
| 3435 E Pony Express Pkwy Ste 140, Eagle Mountain, UT 840055548 | 8017892444 | 8017892045 |
| Street Address |
3435 E PONY EXPRESS PKWY STE 140 |
| City | EAGLE MOUNTAIN |
| State | UT |
| Zip Code | 84005-5548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306832944 | Charles C Southerland | Podiatrist | 3435 E Pony Express Pkwy Ste 140, Eagle Mountain, UT 84005-5548 | 2005-09-20 |
| 1659991438 | Utah Podiatry Group PC | Podiatrist | 3435 E Pony Express Pkwy Ste 140, Eagle Mountain, UT 84005-5548 | 2020-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922573856 | Eagle Mountain Children's Dentistry Pllc | Clinic/Center | 3435 Pony Express Parkway Ste. 130, Eagle Mountain, UT 84005 | 2018-10-08 |
| 1437650157 | Michael Hogue | Emergency Medical Technician, Basic | 2036 E Harkers Way, Eagle Mountain, UT 84005 | 2018-02-27 |
| 1376050682 | Bell Adult Healthcare and Wellness Pllc | Nurse Practitioner | 4719 E Silver Creek Way, Eagle Mountain, UT 84005 | 2018-01-08 |
| 1891201794 | Breaking Barriers Therapy Services LLC | Speech-Language Pathologist | 3756 E Barton Creek Dr, Eagle Mountain, UT 84005 | 2017-12-14 |
| 1346770617 | Mallory Lynn Hansen | Speech-Language Pathologist | 8981 N Skye Loop, Eagle Mountain, UT 84005 | 2017-06-19 |
| 1609315480 | Pony Express Dental LLC | Clinic/Center | 1308 E. Eagle Mountain Blvd, Eagle Mountain, UT 84005 | 2017-02-14 |
| 1609130418 | Utah Addiction Centers | Substance Abuse Rehabilitation Facility | 2590 Prarie View Drive, Eagle Mountain, UT 84005 | 2012-06-26 |
| 1760763411 | Elizabeth A Pritt | Physician Assistant | 4095 E Pony Express Parkway, Suite 1, Eagle Mountain, UT 84005 | 2011-09-07 |
| 1902101587 | Benjamin Dean Jones | Social Worker | 4682 East Foxwood Drive, Eagle Mountain, UT 84005 | 2011-01-13 |
| 1407182892 | Jacob Chase Fowler | Pharmacist | 3435 E Pony Express Pkwy Ste 150, Eagle Mountain, UT 84005 | 2009-10-20 |
| Find all providers in zip 84005 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265050660 | Dana Michelle Roach | Nurse Practitioner | 3435 E Pony Express Pkwy Ste 104, Eagle Mountain, UT 84005-5515 | 2020-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742016 | Luz Elena Reni | Nurse Practitioner | 593 Millcreek Way, Bountiful, UT 84010-3920 | 2020-08-31 |
| 1841803137 | Anywhere Care | Nurse Practitioner | 9980 S. 300 W. Suite 200, Sandy, UT 84070 | 2020-08-26 |
| 1356952840 | Sandra Robles | Nurse Practitioner | 6671 S Redwood Rd Ste 101, West Jordan, UT 84084-7489 | 2020-08-10 |
| 1174141964 | Kaitlyn Miller Albrecht | Nurse Practitioner | 14094 S Candy Pull Dr, Draper, UT 84020-7511 | 2020-07-08 |
| 1700403540 | Brady Ardell Byington | Nurse Practitioner | 6654 Willow Creek Rd, Mountain Green, UT 84050-6810 | 2020-06-27 |
| 1528697950 | Meagan Mckean | Nurse Practitioner | 2486 E Newport Cir, Cottonwood Heights, UT 84121-5642 | 2020-04-07 |
| 1104487677 | Brandilyn Rolfe | Nurse Practitioner | 2629 Cottage Ct, Park City, UT 84098-8226 | 2019-06-25 |
| 1447819974 | Andrew Brice Heinecke | Nurse Practitioner | 6807 S 3200 W, West Jordan, UT 84084-1828 | 2019-06-09 |
| 1467977884 | Eden Family Care and Medical Aesthetics | Nurse Practitioner | 2612 N Highway 162, Eden, UT 84310-9745 | 2017-08-07 |
| 1124499769 | Gunnison Valley Hospital | Nurse Practitioner | 131 E Main St # 3, Salina, UT 84654-1335 | 2015-10-08 |
| Find all providers with the same taxonomy | ||||
| City | EAGLE MOUNTAIN |
| Zip Code | 84005 |
Please comment or provide details below to improve the information on BROOKE LUDWIG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.