Individual provider Active NPI

George Brosowske, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1083324040
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1099670 Issued in TX
Practice address
6927 Country Rose
San Antonio, TX 78240-4464
Phone
(806) 228-5224
NPI assigned
Nov 30, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1099670 TX Primary

Addresses

Primary practice location

6927 Country Rose
San Antonio, TX 78240-4464

Mailing address

6927 Country Rose
San Antonio, TX 78240-4464
Phone (806) 228-5224

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230321002164 TX Practitioner - Nurse Practitioner 7719351352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas Tech University Health Science Center School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elder Care Behavioral Health Services PLLCGroup PAC ID 9133556160, 7 clinicians

Practice addresses (Care Compare)

3220 N Loop 1604
Shavano Park Senior Living
San Antonio, TX 78231-4401
Phone (210) 492-4040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elder Care Behavioral Health Services PLLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

1810 Old Granger
#S
Taylor, TX 76574
Phone (512) 352-6337

Interoperability endpoints

  • Direct secure messaging: eldercarebehavioral.georgebrosowske@143484.advancedmd-direct.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1083324040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6927 COUNTRY ROSE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404464",
            "telephone_number": "806-228-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6927 COUNTRY ROSE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404464",
            "telephone_number": "806-228-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSOWSKE",
        "first_name": "GEORGE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1099670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.