Individual provider Active NPI

Joshua Ryan Brooks

  • Surgical Physician Assistant
  • Austin, TX
National Provider Identifier
1164082731
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA13043 Issued in TX
Practice address
4700 Seton Center Pkwy Ste 200
Austin, TX 78759-4107
Phone
(512) 439-1000
Fax
(512) 439-1085
NPI assigned
Jun 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Surgical Physician Assistant 363AS0400X PA13043 TX Primary

Addresses

Primary practice location

4700 Seton Center Pkwy Ste 200
Austin, TX 78759-4107

Mailing address

4700 Seton Center Pkwy Ste 200
Austin, TX 78759-4107
Phone (512) 439-1000

Other practice location 1

4700 Campus Village Drive
Ste 100
Round Rock, TX 78665
Phone (512) 439-1000

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
I20191218001553 TX Practitioner - Physician Assistant 0143654582 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortholonestar PLLCGroup PAC ID 9931529062, 416 clinicians

Practice addresses (Care Compare)

3755 S Capital of Texas Hwy
Suite 130
Austin, TX 78704-6623
Phone (512) 439-1000

3800 Gaylord Pkwy
Suite 710
Frisco, TX 75034-9635
Phone (214) 220-2468

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ortholonestar, PLLC CurrentSince Apr 1, 2021 Accepting new patients
Ortholonestar, PLLC CurrentSince Apr 1, 2021 Accepting new patients
Medhealth CurrentSince Jan 6, 2020 Accepting new patients

Locations

4700 Seton Center Pkwy
Ste 200
Austin, TX 78759
Phone (512) 439-1011

3755 S Capital of Texas Hwy
Ste 130
Austin, TX 78704
Phone (512) 439-1005

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

3800 Gaylord Pkwy
Ste 710
Frisco, TX 75034

4700 Campus Village Dr
Ste 100
Round Rock, TX 78665
Phone (512) 439-1004

Interoperability endpoints

  • Direct secure messaging: joshua.brooks.1@15533.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1164082731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SETON CENTER PKWY STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594107",
            "telephone_number": "512-439-1000",
            "fax_number": "512-439-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SETON CENTER PKWY STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594107",
            "telephone_number": "512-439-1000",
            "fax_number": "512-439-1085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Campus Village Drive",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "78665",
            "country_code": "US",
            "telephone_number": "512-439-1000",
            "fax_number": "512-439-1998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JOSHUA",
        "middle_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-17",
        "last_updated": "2023-08-02",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA13043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.