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BROOKE CHILD
NPI 1124912332
Nurse Practitioner - Family in Tooele, UT

Active since June 04, 2025PECOS EnrolledAccepts Medicare Assignment
526 W 1360 N, TOOELE, UT 84074(801) 631-0720 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 16, 2026, Nov 14, 2025, Jun 4, 2025 (3 updates tracked since 2025).

About Brooke Child NPPES

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

BROOKE CHILD (NPI 1124912332) is an individual family provider in Tooele, Utah, licensed in Utah (10968099-4405) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1124912332
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBROOKE CHILD
Location Address526 W 1360 NTooele, UT 84074-1892
Mailing Address526 W 1360 NTooele, UT 84074-1892 · (801) 631-0720
Phone(801) 631-0720
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 4, 2025
Last NPPES UpdateMarch 16, 20263 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1124912332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in UT · 10968099-4405
526 W 1360 N, Tooele, UT 84074
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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

Brooke Child 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 ID8527565878
PECOS Enrollment IDI20251010002934
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84074 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Brooke Child's NPI number?

The NPI number for Brooke Child is 1124912332. It was assigned to this individual provider in the NPPES registry on June 4, 2025.

Where is Brooke Child located?

Brooke Child practices at 526 W 1360 N, Tooele, UT 84074. The listed phone number is (801) 631-0720.

What is Brooke Child's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Brooke Child enrolled in Medicare?

Yes. Brooke Child is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Brooke Child was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.