Active NPI
Brooke Ballases Beebe, P.A.
- Physician Assistant
- Austin, TX
National Provider Identifier
1063718393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA06726
- Practice address
- 12200 Renfert Way
Ste 100
Austin, TX 78758-5614 - Phone
- (512) 451-8211
- NPI assigned
- Feb 3, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA06726 | TX | Primary |
Addresses
Primary practice location
12200 Renfert Way
Ste 100
Austin, TX 78758-5614
Mailing address
12200 Renfert Way Ste 100
Austin, TX 78758-5614
Phone (512) 451-8211
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70174346 | Other | TX | DPS |
| PA06726 | Other | TX | PA LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA06726 | TX | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296691200000",
"number": "1063718393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12200 RENFERT WAY STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585614",
"telephone_number": "512-451-8211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12200 RENFERT WAY",
"address_2": "STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585614",
"telephone_number": "512-451-8211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEEBE",
"first_name": "BROOKE",
"middle_name": "BALLASES",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-03",
"last_updated": "2011-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA06726",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPS",
"identifier": "70174346",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE NUMBER",
"identifier": "PA06726",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.