Active NPI
Sandra Zoe Brothers, M.D.
- Gynecology Physician
- Dallas, TX
National Provider Identifier
1124052121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- J8475
- Practice address
- 411 N Washington Ave
Suite 2700
Dallas, TX 75246-1713 - Phone
- (214) 823-7900
- Fax
- (214) 239-4260
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | J8475 | TX | Primary |
Addresses
Primary practice location
411 N Washington Ave
Suite 2700
Dallas, TX 75246-1713
Mailing address
411 N Washington Ave
Suite 2700
Dallas, TX 75246-1713
Phone (214) 823-7900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8AJ518 | Other | TX | BC/BS SOLO IDENTIFIER |
| 160052816 | Other | TX | RAIL ROAD MEDICARE |
| 143857402 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandra Z. Brothers, MD, PA | Past | Accepting new patients |
Interoperability endpoints
- sandra.brothers@txg063.digichart.direct-ci.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 and National Provider Directory roles.
-
- Specialist
- Dallas, TX
- NPI 1598953234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366329600000",
"number": "1124052121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 N WASHINGTON AVE",
"address_2": "SUITE 2700",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461713",
"telephone_number": "214-823-7900",
"fax_number": "214-239-4260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 N WASHINGTON AVE",
"address_2": "SUITE 2700",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461713",
"telephone_number": "214-823-7900",
"fax_number": "214-239-4260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROTHERS",
"first_name": "SANDRA",
"middle_name": "ZOE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2013-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "TX",
"license": "J8475",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS SOLO IDENTIFIER",
"identifier": "8AJ518",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "160052816",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143857402",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Rebecca Marie Bross, PT, DPT
- Amanda Leigh Brosseau, MS, CGC
- Brother Bills Helping Hand
- Brotherman and Moninger, LLP
- Brothers & Crochet OBGYN Associates of Dallas LLP
- Randall James Brotherton
- Maya Sandra Brouette
- Jonathan Reeves Brough, M.D.
- Bianca Simone Broughton, LAT, ATC, EMT
- Kirbie Danielle Broughton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.