Individual provider Active NPI

Pamela Brooke Martin, MD

  • Family Medicine Physician
  • Keller, TX
National Provider Identifier
1013905306
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L8368 Issued in TX
Practice address
300 N Rufe Snow Dr
Keller, TX 76248-4235
Phone
(817) 753-7300
Fax
(817) 431-0367
NPI assigned
Oct 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L8368 TX Primary

Addresses

Primary practice location

300 N Rufe Snow Dr
Keller, TX 76248-4235

Mailing address

4351 Booth Calloway Rd
#101
North Richland Hills, TX 76180-7378
Phone (817) 284-1165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040618001036 TX Practitioner - Family Practice 9234114810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Duke University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Hills Family Practice, PAGroup PAC ID 9638154313, 5 clinicians
Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians

Practice addresses (Care Compare)

300 N Rufe Snow Dr
Keller, TX 76248-4235
Phone (817) 431-3800

350 Mercedes St
Benbrook, TX 76126-2593
Phone (817) 717-5390

Hospital & facility affiliations

  • Hope Home Care Inc Home health agency, Keller, TX, CCN 679761
  • Medical City Alliance Hospital, Fort Worth, TX, CCN 670103
  • Texas Health Harris Methodist Hospital Alliance Hospital, Fort Worth, TX, CCN 670085
  • Baylor Scott & White Medical Center Grapevine Hospital, Grapevine, TX, CCN 450563

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L8368TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Hills Family Practice, PA Family Medicine CurrentSince Mar 15, 2004 Accepting new patients

Locations

816 Keller Pkwy
Ste 102
Keller, TX 76248
Phone (817) 337-0036

300 N Rufe Snow Dr
Keller, TX 76248
Phone (254) 289-2285

4351 Booth Calloway Rd
Ste 101
Richland Hills, TX 76180
Phone (817) 284-1165

Interoperability endpoints

  • Direct secure messaging: pamela.martin.1@21606.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1013905306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 BOOTH CALLOWAY RD",
            "address_2": "#101",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761807378",
            "telephone_number": "817-284-1165",
            "fax_number": "817-284-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N RUFE SNOW DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762484235",
            "telephone_number": "817-753-7300",
            "fax_number": "817-431-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PAMELA",
        "middle_name": "BROOKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L8368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

Verify at the official NPI Registry.