NPIMap

Organization Active NPI

Brookwood Healthcare Systems, LLC

  • Nurse Practitioner
  • Desoto, TX
National Provider Identifier
1164869863
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
BROOKWOOD HEALTHCARE SYSTEMS, LLC
Practice address
1805 Wylie Creek Dr
Desoto, TX 75115-1729
Phone
(866) 616-9334
Fax
(972) 230-1390
NPI assigned
Jun 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Authorized official

Name
Ms. Alemeta B Bradley, CMC
Title
Owner/Operator
Phone
(866) 616-9334

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

1805 Wylie Creek Dr
Desoto, TX 75115-1729

Mailing address

PO Box 321
Cedar Hill, TX 75106-0321
Phone (866) 616-9334

National Provider Directory

National Provider Directory
Tax ID family
Brookwood Healthcare Systems LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1164869863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 321",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751060321",
            "telephone_number": "866-616-9334",
            "fax_number": "972-230-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 WYLIE CREEK DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751151729",
            "telephone_number": "866-616-9334",
            "fax_number": "972-230-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKWOOD HEALTHCARE SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "ALEMETA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "866-616-9334",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMC"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.

Verify at the official NPI Registry.