1. Home
  2. Directory
  3. Wisconsin
  4. Green Bay
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

BROOKE BLOOMFIELD
NPI 1730839705
Student in an Organized Health Care Education/Training Program in Green Bay, WI

Active since March 24, 2022PECOS Enrolled
1727 SHAWANO AVE, GREEN BAY, WI 54303(920) 436-1375 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brooke Bloomfield NPPES

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

BROOKE BLOOMFIELD (NPI 1730839705) is an individual student in an organized health care education/training program in Green Bay, Wisconsin and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730839705
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBROOKE BLOOMFIELD
Location Address1727 SHAWANO AVEGreen Bay, WI 54303-3268
Mailing Address1727 Shawano AveGreen Bay, WI 54303-3268
Phone(920) 436-1375
Sole ProprietorNo
Enumeration DateMarch 24, 2022
NPPES CertifiedMarch 24, 2022
✔ NPI 1730839705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1727 SHAWANO AVE, Green Bay, WI 54303
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brooke Bloomfield 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.

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.

MERNA GHOBRIAL MD
Student in an Organized Health Care Education/Training Program
1727 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 436-1375
RACHEL D KROLL PT, DPT
Physical Therapist
1727 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 496-4700
SIMIL S. GALA M.D.
Internal Medicine (Interventional Cardiology)
1727 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 496-4700
TODD S FERGUS MD
Internal Medicine (Cardiovascular Disease)
1727 SHAWANO AVE, SUITE 201
GREEN BAY, WI 54303
Brown County (920) 496-8877
ERIC J HALLQUIST MD
Student in an Organized Health Care Education/Training Program
1727 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (490) 431-1810
CONNIE BLOEDEL CERTIFIED DIETICIAN
Dietitian, Registered
1727 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 272-1010
DR. MANAL S SOLIMAN M.D.
Family Medicine
1727 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 496-4700
DR. JAMES CHRISTOPHER HANSEN MD
Internal Medicine (Clinical Cardiac Electrophysiology)
1727 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 496-4700

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 Bloomfield's NPI number?

The NPI number for Brooke Bloomfield is 1730839705. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Brooke Bloomfield located?

Brooke Bloomfield practices at 1727 Shawano Ave, Green Bay, WI 54303. The listed phone number is (920) 436-1375.

What is Brooke Bloomfield's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brooke Bloomfield enrolled in Medicare?

Yes. Brooke Bloomfield is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brooke Bloomfield was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.