Andrew F Brooker M.D.

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

J5961 Issued in TX

Legal business name

ANDREW F BROOKER M.D.

Practice address

4514 Cornell St
Suite B
Amarillo, TX 79109-5800

Phone

(806) 355-6552

Fax

(806) 468-0340

NPI assigned

Sep 27, 2007

Last updated

Feb 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Ann Clark

Title

Office Manager

Phone

(806) 468-0313

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1184811796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4514 CORNELL ST",
            "address_2": "SUITE B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095800",
            "telephone_number": "806-355-6552",
            "fax_number": "806-468-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4514 CORNELL ST",
            "address_2": "SUITE B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095800",
            "telephone_number": "806-355-6552",
            "fax_number": "806-468-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW F BROOKER M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "806-468-0313",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "TX",
            "license": "J5961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W1786",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00942N",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CK2090",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142946601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Daniel Anderson, MD
• Vanessa Ransom Anderson, OPTOMETRIST
• Wesley James Anderson, O.D.
• Adam Michael Andrada
• Robert Edward Andrade
• John L Andrew, MD
• Ashli N Andrews, LCSW
• Randolph J Andrews, DC
• Courtni Andrus, N.P.
• Anesthetic Solutions LLP

• Adult Reconstructive Orthopaedic Surgery Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.