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CAROL LYNN BROKSCHMIDT MD
NPI 1124104112
Obstetrics & Gynecology in Fort Defiance, AZ

Active since October 31, 2006PECOS Enrolled
CORNER OF RT. N12 AND N7, FORT DEFIANCE PHS HOSPITAL, FORT DEFIANCE, AZ 86504(928) 729-8757 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carol Lynn Brokschmidt Md NPPES

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

CAROL LYNN BROKSCHMIDT MD (NPI 1124104112) is an individual obstetrics & gynecology provider in Fort Defiance, Arizona, licensed in Arizona (19747) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124104112
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameCAROL LYNN BROKSCHMIDTCredential: MD
Location AddressCORNER OF RT. N12 AND N7, FORT DEFIANCE PHS HOSPITALFort Defiance, AZ 86504
Mailing Address9522 E Minton StMesa, AZ 85207-2538 · (480) 354-8766
Phone(928) 729-8757
Sole ProprietorNo
Enumeration DateOctober 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124104112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in AZ · 19747
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
CORNER OF RT. N12 AND N7, Fort Defiance, AZ 86504
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Other Identifiers 3

Other19747AZ · License
Other893356AZ · Ahcccs
Medicaid52424553NM

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carol Lynn Brokschmidt Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carol Brokschmidt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northbay Healthcare Group
733 mi
Multi-Specialty
1020 NUT TREE RD # 390
Vacaville, CA 95687
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Northbay Physicians Surgery Center, LLC
  • 516 clinicians in this Medicare group
NPI 1760534713 (707) 624-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DANIEL J HUYSER LPC
Counselor (Mental Health)
CORNER OF RT. N12 AND N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8518

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carol Brokschmidt's NPI number?

The NPI number for Carol Brokschmidt is 1124104112. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Carol Brokschmidt located?

Carol Brokschmidt practices at Corner Of Rt. N12 And N7 Fort Defiance Phs Hospital, Fort Defiance, AZ 86504. The listed phone number is (928) 729-8757.

What is Carol Brokschmidt's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Carol Brokschmidt enrolled in Medicare?

Yes. Carol Brokschmidt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carol Brokschmidt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carol Brokschmidt reassigns Medicare benefits to Northbay Healthcare Group (Vacaville, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carol Brokschmidt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carol Brokschmidt was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.