NPIMap

Individual provider Active NPI

Brooke Atkisson Radley Dorotik, M.D.

  • Family Medicine Physician
  • El Campo, TX
National Provider Identifier
1063772945
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P8774 Issued in TX
Practice address
305 Sandy Corner Rd
El Campo, TX 77437-9535
Phone
(979) 543-5510
Fax
(979) 543-4137
NPI assigned
May 24, 2012
Last updated
Mar 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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 P8774 TX Primary

Addresses

Primary practice location

305 Sandy Corner Rd
El Campo, TX 77437-9535

Mailing address

305 Sandy Corner Rd
El Campo, TX 77437-9535
Phone (979) 543-5510

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150428000566 TX Practitioner - Family Practice 2961721816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Campo Memorial HospitalGroup PAC ID 6406021765, 27 clinicians
West Wharton County Hospital DistrictGroup PAC ID 7517952047, shared by 93 NPIs, 17 clinicians
Palacios Community Medical CenterGroup PAC ID 0840278164, shared by 2 NPIs, 8 clinicians

Practice addresses (Care Compare)

1201 N Mechanic St
Mid Coast Well Care Mid Town
El Campo, TX 77437-2613
Phone (979) 543-5510

303 Sandy Corner Rd
El Campo, TX 77437-9535

311 Green Ave
Palacios, TX 77465-3213
Phone (361) 972-2511

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
El Campo Memorial Hospital Family Medicine CurrentSince Jul 1, 2015 Accepting new patients
El Campo Memorial Hospital Current Accepting new patients
El Campo Memorial Hospital Family Medicine CurrentSince Jul 1, 2015 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients

Locations

1201 N Mechanic St
El Campo, TX 77437
Phone (979) 332-2230

303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251

305 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251

Organizations & group practices 5

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

Hospital & facility affiliations 6

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": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1063772945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 SANDY CORNER RD",
            "city": "EL CAMPO",
            "state": "TX",
            "postal_code": "774379535",
            "telephone_number": "979-543-5510",
            "fax_number": "979-543-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 SANDY CORNER RD",
            "city": "EL CAMPO",
            "state": "TX",
            "postal_code": "774379535",
            "telephone_number": "979-543-5510",
            "fax_number": "979-543-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOROTIK",
        "first_name": "BROOKE",
        "middle_name": "ATKISSON RADLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P8774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Campo, TX

Sources for this page

Verify at the official NPI Registry.