BROOKE LUDWIG NPI 1134750110

NPI Information

  • NPI: 1134750110
  • Provider Name: BROOKE LUDWIG
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3435 E PONY EXPRESS PKWY STE 140
    EAGLE MOUNTAIN, UT
    ZIP 84005
  • Phone: (801) 789-2444

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NPI Details

Brooke Ludwig is a primary care nurse practitioner in Eagle Mountain, UT with 7 years of experience. Brooke Ludwig NPI is 1134750110. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3435 E PONY EXPRESS PKWY STE 140
EAGLE MOUNTAIN, UT
ZIP 84005-548
Phone: (801) 789-2444
Fax: (801) 789-2045

The NPI 1134750110 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/29/2020 and was last updated on 7/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary Care8642879-4405UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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