BROOKE BIRCKBICHLER (PA-C) – Physician Assistant, NPI 1124797030

BROOKE BIRCKBICHLER (PA-C) is a healthcare provider. based in Centerville, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 12458330-1206 (UT). The NPI Number for BROOKE BIRCKBICHLER (PA-C) is 1124797030

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
BROOKE BIRCKBICHLER (PA-C)
NPI
1124797030
Phone
(801) 577-8678
Address
392 N Main St
Enumeration Date
13 September 2021
Last Update Date
24 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6109440464
Graduation Year
2021 (5 years ago)
PAC ID
9739570805
Group Practice PAC ID
1658289517
Professional Enrollment ID
I20220707000934
Address ID
PA195597706ST44XXXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

1,972 PHYSICIAN ASSISTANT in UT

Provider Addresses for BROOKE BIRCKBICHLER (PA-C)

  • 392 N Main St

    Centerville, UT 840141819

    Phone: (801) 577-8678

    Type: Location

  • 2500 BERNVILLE RD

    READING, PA 196059453

    Phone: (610) 378-2000

    Fax: (610) 378-2799

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $54.

Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.

Last reported payment date: 2024-06-28 • Largest payer in this snapshot: Boston Scientific Corporation ($54).

Total Amount

$54

General + Research + Ownership

Payments

2

Total payment records

General Amount

$54

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-07-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220707000934IPhysician AssistantPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes6563$0
99212Established patient office or other outpatient visit, 10-19 minutes6057$0
99203New patient office or other outpatient visit, 30-44 minutes3232$0
99202New patient office or other outpatient visit, 15-29 minutes3131$0
81002Urinalysis, manual test1716$0
View full utilization report →

Insurance plans in this area (ZIP 84014)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658289517View full group profile
NameSpecialtyState
Physician AssistantPA
Physician AssistantPA
Physician AssistantPA
Physician AssistantMA
-PA
Family Practice, HospitalistPA
Physician AssistantPA
Physician AssistantPA
-PA
Family PracticePA

Reviews

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Frequently asked questions

What is the registry number for BROOKE BIRCKBICHLER (PA-C)?
The registry entry for BROOKE BIRCKBICHLER (PA-C) shows NPI 1124797030.
Is BROOKE BIRCKBICHLER (PA-C)'s NPI status active today?
Active status means BROOKE BIRCKBICHLER (PA-C)'s NPI record is not deactivated in the public file.
What does the directory say BROOKE BIRCKBICHLER (PA-C) does?
Insurance directories may phrase it differently, but here BROOKE BIRCKBICHLER (PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is BROOKE BIRCKBICHLER (PA-C) tied to Centerville, Utah?
If you are local to Centerville, Utah, BROOKE BIRCKBICHLER (PA-C) may be relevant to your search.
Who maintains BROOKE BIRCKBICHLER (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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