Julius Anthony Debroeck Jr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F9356 Issued in TX

Practice address

21212 Northwest Fwy
#225
Cypress, TX 77429-5884

Phone

(281) 469-8414

Fax

(281) 469-6213

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1023180429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21212 NORTHWEST FWY",
            "address_2": "#225",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295884",
            "telephone_number": "281-469-8414",
            "fax_number": "281-469-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21212 NORTHWEST FWY",
            "address_2": "#225",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295884",
            "telephone_number": "281-469-8414",
            "fax_number": "281-469-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBROECK",
        "first_name": "JULIUS",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F9356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00H557",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115039303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Xavier Armando De Hoyos, CPHT
• Esther De la Cruz, BCBA
• Mark Phillip De Pedro, DMD
• Destini Dean
• Ana Maria Debernardo, APRN
• David Stephen Decasper
• Willa Decker, APN
• Rebecca Del Valle, NP
• Nancy Alejandra Delafuente
• Monica Deleon, LMT

• Family Medicine Physician in Cypress, TX
• Providers in Cypress, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.