Elisabeth Schultz Brockie, D.O.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

H9820 Issued in TX

Practice address

1508 17TH St
Plano, TX 75074-6300

Phone

(877) 433-7284

Fax

(877) 433-7284

NPI assigned

Jan 31, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 13, 2026 through Apr 13, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• DFW 501a Corporation

  • Anatomic Pathology & Clinical Pathology Physician
  • Plano, TX
  • NPI 1881665412
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1184761777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 ALTA VISTA LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752292836",
            "telephone_number": "214-350-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 17TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746300",
            "telephone_number": "877-433-7284",
            "fax_number": "877-433-7284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4770 Regent Blvd",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750632445",
            "country_code": "US",
            "telephone_number": "972-916-3532",
            "fax_number": "972-916-3209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCKIE",
        "first_name": "ELISABETH",
        "middle_name": "SCHULTZ",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "H9820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keity Brito, MHP, MSW
• Brobst Facial Plastics, PLLC
• Robert William Brobst Jr., M.D.
• Michelle L Brochner, MD
• Lane Brock
• Brockman Counseling LLC
• Jenifer Arlene Broderick-Thomas, M.D.
• Dayee Broniek, PTA
• Christina Brooke, LCSW
• Brooklea Counseling & Health Services

• Anatomic Pathology & Clinical Pathology Physician in Plano, TX
• Providers in Plano, TX by specialty
• Anatomic Pathology & Clinical Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.