McBroom Clinic PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MCBROOM CLINIC PA

Practice address

2 Saint Marks PL Ste 110
La Grange, TX 78945-1255

Phone

(979) 968-8493

Fax

(979) 968-6388

NPI assigned

Dec 13, 2006

Last updated

Apr 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Alyson M Beisert

Title

Office Manager

Phone

(979) 968-8493

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19983/brand/1/csg/1/fhir/r4

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nathan Wallace Anderson, MD

  • Family Medicine Physician
  • La Grange, TX
  • NPI 1386078715
  Medicare reassignment Care Compare group NPD
• Wess James Blackwell, M.D.

  • Family Medicine Physician
  • La Grange, TX
  • NPI 1780679662
  Medicare reassignment Care Compare group NPD
• Thomas O Borgstedte, D.O.

  • Family Medicine Physician
  • La Grange, TX
  • NPI 1295877264
  Medicare reassignment Care Compare group NPD
• Amy Jean Gutierrez, M.D.

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1851395750
  Medicare reassignment Care Compare group NPD
• Hans James Raj, MD

  • Family Medicine Physician
  • La Grange, TX
  • NPI 1205909074
  Medicare reassignment Care Compare group NPD
• Amanda Rosenauer, CFNP

  • Nurse Practitioner
  • La Grange, TX
  • NPI 1265873251

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Hanna Florence Pilat, PA-C

  • Physician Assistant
  • La Grange, TX
  • NPI 1508557620
  Medicare reassignment Care Compare group
• Wildon Mellinger Rouse III

  • Physician Assistant
  • La Grange, TX
  • NPI 1003873845
  Medicare reassignment Care Compare group
• William M McBroom, M.D.

  • Family Medicine Physician
  • La Grange, TX
  • NPI 1407998461
  Medicare reassignment NPD
• Jennifer J Emmel, PA-C

  • Physician Assistant
  • La Grange, TX
  • NPI 1053549709
  Medicare reassignment
• Kenneth Becker, MD

  • Internal Medicine Physician
  • Temple, TX
  • NPI 1336155332
  NPD (past)
• Mary E Wells, CFNP

  • Family Nurse Practitioner
  • Giddings, TX
  • NPI 1285709774
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1114088093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SAINT MARKS PL STE 110",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789451255",
            "telephone_number": "979-968-8493",
            "fax_number": "979-968-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SAINT MARKS PL STE 110",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789451255",
            "telephone_number": "979-968-8493",
            "fax_number": "979-968-6388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1253 N Von Minden St",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "TX",
            "postal_code": "789451262",
            "country_code": "US",
            "telephone_number": "979-968-8493",
            "fax_number": "979-968-6388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "598 Cactus St",
            "address_purpose": "LOCATION",
            "city": "Giddings",
            "state": "TX",
            "postal_code": "789421437",
            "country_code": "US",
            "telephone_number": "979-542-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCBROOM CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "BEISERT",
        "authorized_official_first_name": "ALYSON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "979-968-8493",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114088093",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen Maria Lukner, RPH
• Tracy P. Mach, L.P.C.
• Allan Mahood, MD
• Sarah Martin, FNP
• Larry Donald Mayer, D.D.S.
• William M McBroom, M.D.
• Rebekah McNulty, LICSW
• Monument Rehabilitation and Nursing Center, LLP
• Angela Christine Murphy, LCSW
• My Lighthouse of Hope, Inc.

• Family Medicine Physician in La Grange, TX
• Providers in La Grange, 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 Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.