Provider Demographics
NPI:1083869861
Name:BIGELOW, BROOKE E
Entity Type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:E
Last Name:BIGELOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8102 E 32ND AVE # B
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-4112
Mailing Address - Country:US
Mailing Address - Phone:907-777-0327
Mailing Address - Fax:907-272-2161
Practice Address - Street 1:2211 ARCA DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-3462
Practice Address - Country:US
Practice Address - Phone:907-267-6677
Practice Address - Fax:907-272-2161
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator