Brookeside Health LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BROOKESIDE HEALTH LLC

Practice address

1521 N Cooper St Ste 227
Arlington, TX 76011-5523

Phone

(817) 656-4180

Fax

(682) 277-4397

NPI assigned

Mar 22, 2022

Organization subpart

No

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

Authorized official

Name

Colin Nickerson

Title

President

Phone

(224) 730-4210

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1134878416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 N COOPER ST STE 227",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115523",
            "telephone_number": "817-656-4180",
            "fax_number": "682-277-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 N COOPER ST STE 227",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115523",
            "telephone_number": "817-656-4180",
            "fax_number": "682-277-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKESIDE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "NICKERSON",
        "authorized_official_first_name": "COLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-730-4210"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Brock, M.D.
• Melinda G Brockman, MSN, RN, ACNP
• Victoria Allison Brockman
• Gordon S Brody, MD
• Russell Joseph Brofer, D.O.
• Brookfields Behavioral Health Services LLC
• Brookhaven Healthcare
• Courtney Brooks, PTA
• Ebeni Brooks, RN
• Hannah Joe Brooks

• Durable Medical Equipment & Medical Supplies in Arlington, TX
• Providers in Arlington, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.