BROOKE E BENNIS D.O.
NPI 1811169683
Physical Medicine & Rehabilitation in Mill Valley, CA

Active since April 01, 2008Opted out of Medicare · through Jun 28, 2028
100 SHORELINE HIGHWAY, 210A, MILL VALLEY, CA 94941(415) 388-5520(415) 388-5503 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Brooke E Bennis D.o. NPPES

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

BROOKE E BENNIS D.O. (NPI 1811169683) is an individual physical medicine & rehabilitation provider in Mill Valley, California, licensed in California (20A14793) and active in the NPI registry since April 2008. She has opted out of Medicare through June 28, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1811169683
Entity TypeIndividualFemale
Primary Taxonomy208100000X
Provider Legal NameBROOKE E BENNISCredential: D.O.
Location Address100 SHORELINE HIGHWAY, 210AMill Valley, CA 94941
Mailing Address3010 Beard RdNapa, CA 94558-3442 · (707) 255-8825 · Fax (707) 252-9325
Fax(415) 388-5503
Sole ProprietorNo
Enumeration DateApril 1, 2008
Last NPPES UpdateOctober 21, 2024
NPI 1811169683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Licenses Licensed in CA · 20A14793 Licensed in CO · 51271 Licensed in OR · DO170157
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
100 SHORELINE HIGHWAY, Mill Valley, CA 94941

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Brooke E Bennis D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 28, 2018 through June 28, 2028.

Opt-Out Effective DateJune 28, 2018
Opt-Out In Effect ThroughJune 28, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 6

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

Psychiatry & Neurology (Geriatric Psychiatry)
100 SHORELINE HIGHWAY, BUILDING B SUITE 100-1020
MILL VALLEY, CA 94941
Clinical Neuropsychologist
100 SHORELINE HIGHWAY, BUILDING B, SUITE 100
MILL VALLEY, CA 94941
General Practice
100 SHORELINE HIGHWAY, 210A
MILL VALLEY, CA 94941
Internal Medicine (Sports Medicine)
100 SHORELINE HIGHWAY, 210A
MILL VALLEY, CA 94941
Naturopath
100 SHORELINE HIGHWAY, 210A
MILL VALLEY, CA 94941
Psychiatry & Neurology (Psychiatry)
100 SHORELINE HIGHWAY, SUITE 100-B
MILL VALLEY, CA 94941

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 Bennis's NPI number?

The NPI number for Brooke Bennis is 1811169683. It was assigned to this individual provider in the NPPES registry on April 1, 2008.

Where is Brooke Bennis located?

Brooke Bennis practices at 100 Shoreline Highway 210A, Mill Valley, CA 94941. The listed phone number is (415) 388-5520.

What is Brooke Bennis's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Brooke Bennis enrolled in Medicare?

No. Brooke Bennis has opted out of Medicare through June 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Brooke Bennis was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.