Individual provider Active NPI

Peter A. Brokish, M.D.

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1053519645
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
P1852 Issued in TX
Practice address
5150 Lemmon Ave Ste 108
Dallas, TX 75209-6428
Phone
(214) 891-5579
NPI assigned
Jul 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD60915016 WA
Emergency Medicine Physician 207P00000X P1852 TX Primary
Obesity Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083B0002X C208128 CA

Addresses

Primary practice location

5150 Lemmon Ave Ste 108
Dallas, TX 75209-6428

Mailing address

5150 Lemmon Ave Ste 108
Dallas, TX 75209-6428
Phone (214) 891-5579

Other identifiers 2

IdentifierTypeStateIssuer
P1852OtherTXTX LICENSE
293617101MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120416000531 TX Practitioner - Emergency Medicine 8729112263 Reassigns benefits to 3 organizations
I20191021002297 WA Practitioner - Emergency Medicine 8729112263 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P1852TXMDEmergency Medicine Physician
MD60915016WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Questcare Medical Services, PLLC Emergency Medicine Current Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
First Source Wound Care Current Accepting new patients
24 Hour Physicians, Inc Emergency Medicine CurrentSince Jun 1, 2015 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Feb 19, 2012 Accepting new patients
Kaiser Foundation Health Plan of Washington Family Medicine CurrentSince Sep 3, 2019 Accepting new patients
Innovative Emergency Physicians of Frisco, PA Emergency Medicine CurrentSince Oct 1, 2014 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Sep 3, 2019 Accepting new patients
Emergency Medicine Physicians of Cook County LLC Emergency Medicine Past Accepting new patients
Code 3 Emergency Partners at Carrollton, LLC Past Accepting new patients
Fastpass Ucdfw, PLLC Past Accepting new patients

Locations

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

5601 Warren Pkwy
Frisco, TX 75034
Phone (214) 407-5000

13172 Highway 287
Haslet, TX 76052
Phone (682) 703-4410

620 S Main St
Keller, TX 76248
Phone (214) 294-6100

511 W FM 544
Ste 100
Murphy, TX 75094
Phone (214) 294-6150

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

1604 West Ave
San Antonio, TX 78201
Phone (210) 572-8885

11511 NE 10th St
Hunts Point, WA 98004
Phone (425) 502-3000

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Interoperability endpoints

  • Direct secure messaging: pbrokish232529@ghc.direct-ci.net

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1053519645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 LEMMON AVE STE 108",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752096428",
            "telephone_number": "214-891-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 LEMMON AVE STE 108",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752096428",
            "telephone_number": "214-891-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROKISH",
        "first_name": "PETER",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD60915016",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P1852",
            "primary": true
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "CA",
            "license": "C208128",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE",
            "identifier": "P1852",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "293617101",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "11511 NE 10th St",
            "city": "Bellevue",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980048578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.