CALLIE BRIANNE BROKAW AA
NPI 1114818424
Anesthesiologist Assistant in Greenwood Village, CO

Q: What is Callie Brokaw's NPI number?

The NPI number for Callie Brokaw is 1114818424. It was assigned to this individual provider in the NPPES registry on July 14, 2025.

Q: What is Callie Brokaw's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Callie Brokaw was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 14, 2025Accepts Medicare Assignment

8000 E MAPLEWOOD AVE STE 120, GREENWOOD VILLAGE, CO 80111(303) 438-3999(720) 439-9500 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Callie Brianne Brokaw Aa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALLIE BRIANNE BROKAW AA (NPI 1114818424) is an individual anesthesiologist assistant in Greenwood Village, Colorado, licensed in Colorado (ANT.0000312) and active in the NPI registry since July 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1114818424

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameCALLIE BRIANNE BROKAWCredential: AA

Location Address8000 E MAPLEWOOD AVE STE 120Greenwood Village, CO 80111-4766

Mailing AddressPo Box 840862Dallas, TX 75284-0862 · (303) 377-7638 · Fax (303) 780-0787

Phone(303) 438-3999

Fax(720) 439-9500

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 14, 2025

Last NPPES UpdateSeptember 12, 2025

NPPES CertifiedSeptember 12, 2025

✔ NPI 1114818424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in CO · ANT.0000312

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

8000 E MAPLEWOOD AVE STE 120, Greenwood Village, CO 80111

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Callie Brianne Brokaw Aa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527563923

PECOS Enrollment IDI20250925004642

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER K KROGH CRNA

Nurse Anesthetist, Certified Registered