Active NPI
Brandee Shalese Pemberton, M.D.
- Family Medicine Physician
- Weatherford, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- T9770
- Practice address
- 929 Hilltop Dr
Weatherford, TX 76086-5845 - Phone
- (817) 341-7670
- Fax
- (817) 341-7678
- NPI assigned
- Apr 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | T9770 | TX | Primary |
Addresses
Primary practice location
929 Hilltop Dr
Weatherford, TX 76086-5845
Mailing address
929 Hilltop Dr
Weatherford, TX 76086-5845
Phone (817) 341-7670
Other practice location 1
7703 Floyd Curl Dr # 7795
San Antonio, TX 78229-3901
Phone (210) 358-3937
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
929 Hilltop Dr
Weatherford, TX 76086-5845
Phone (817) 341-7670
Hospital & facility affiliations
- Centerwell Home Health
- Beyondfaith Homecare & Rehab of Ft Worth LLC
- Medical City Weatherford
- Texas Health Harris Methodist Fort Worth
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Family Medicine PLLC | Family Medicine | Current | Accepting new patients |
Locations
933 Hilltop Dr
Ste 100
Weatherford, TX 76086
Phone (817) 341-7302
929 Hilltop Dr
Weatherford, TX 76086
Phone (817) 341-7670
Interoperability endpoints
- https://api.platform.athenahealth.com/17729/brand/1/csg/1/fhir/r4
- brandee.pemberton.1@17729.direct.athenahealth.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.
-
- Family Medicine Physician
- Weatherford, TX
- NPI 1275027385
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Weatherford, TX
- NPI 1225366958
-
- Home Health Agency
- Weatherford, TX
- NPI 1467656694
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
-
- General Acute Care Hospital
- Weatherford, TX
- NPI 1417471467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1154883569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 HILLTOP DR",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760865845",
"telephone_number": "817-341-7670",
"fax_number": "817-341-7678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 HILLTOP DR",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760865845",
"telephone_number": "817-341-7670",
"fax_number": "817-341-7678"
}
],
"practiceLocations": [
{
"address_1": "7703 Floyd Curl Dr # 7795",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782293901",
"country_code": "US",
"telephone_number": "210-358-3937",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEMBERTON",
"first_name": "BRANDEE",
"middle_name": "SHALESE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-03",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "T9770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weatherford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.