npidexNPI registry + Medicare data

BROOKE CHEATHAM, D.O.

Family Medicine Physician · DURANGO, CO

Individual Active Opted out of Medicare NPI 1235549361

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Family Medicine Physician207Q00000X✓DR.0059781CO
Student in an Organized Health Care Education/Training Program390200000X——

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Opted out of Medicare (Family Practice), effective 2020-10-16 through 2026-10-16.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.