NPI 1790405124 · live from the CMS NPI Registry
Brooke Leigh Anders, PA
Physician Assistant, Surgical in Loveland, CO. National Provider Identifier 1790405124, active.
NPI record
| NPI | 1790405124 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 2500 Rocky Mountain Ave Ste 2200, Loveland, CO 80538 |
| Practice phone | 970-203-7250 |
| Mailing address | 2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538 |
| Enumerated | August 29, 2022 |
| Last updated | June 26, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Surgical primary | 363AS0400X | PA.0008217 (CO) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.