Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brennan Broadway, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1457096422

Brennan Broadway, AGACNP is a Nurse Practitioner in Colorado Springs, Colorado. Qualified in 2024, 2 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Tennessee.

Years since qualifying
2
Licensed in
CO, TN
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

525 Bob Peters Grv Ste 202
Colorado Springs, CO 80909-4533
Phone: (719) 365-6568
Fax: (719) 365-6317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1301 Medical Center Dr, Nashville, TN 37232-0028 — (615) 509-2280

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence C-APN.0103675-C-NP (CO)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 31386 (TN)

Record details

NPI number1457096422
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedMay 3, 2022
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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