BROOK L MCFADDEN (NPI# 1508903881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508903881 |
| Entity Type | Individual |
| Full Name | BROOK L MCFADDEN |
| Credential | MD |
| Practice Address |
4705 Montgomery Blvd Ne Ste 201 Albuquerque NM 87109-1233 |
| Practice Telephone | 5058880443 |
| Practice Fax Number | 5058881398 |
| Mailing Telephone | 5058880443 |
| Mailing Fax Number | 5058881398 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2019-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
35121536 | OH | Allopathic & Osteopathic Physicians |
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
MD2010-0172 | NM | Allopathic & Osteopathic Physicians |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
MD2010-0172 | NM | Allopathic & Osteopathic Physicians |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
MD2010-0172 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 29825334 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4775 Knightsbridge Blvd, Ste 103, Columbus, OH 432144313 | 6144422200 | 6144421029 |
| Street Address |
4705 MONTGOMERY BLVD NE STE 201 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407919475 | Dottie L Steinhoff | Physician Assistant | 4705 Montgomery Blvd Ne Ste 201, Albuquerque, NM 87109-1233 | 2006-12-19 |
| 1730502162 | Kristina Hammer | Physician Assistant | 4705 Montgomery Blvd Ne Ste 201, Albuquerque, NM 87109-1233 | 2014-01-21 |
| 1578706495 | Vrinda Devani | Obstetrics & Gynecology | 4705 Montgomery Blvd Ne Ste 201, Albuquerque, NM 87109-1233 | 2009-04-07 |
| 1497946917 | Rebecca Jean Babinski | Physician Assistant | 4705 Montgomery Blvd Ne Ste 201, Albuquerque, NM 87109-1233 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629471032 | Women's Pelvic Specialty Care of New Mexico, LLC | Obstetrics & Gynecology | 4705 Montgomery Blvd Ne, Suite 201, Albuquerque, NM 87109-1226 | 2014-09-29 |
| 1487879987 | Peter C. Jeppson | Obstetrics & Gynecology | 933 Bradbury Dr Se, Suiet 2222, Albuquerque, NM 87106-4374 | 2007-04-17 |
| City | ALBUQUERQUE |
| Zip Code | 87109 |
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| 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.