Active NPI
Rusana Brooks
- Point of Service
- San Antonio, TX
National Provider Identifier
1225402043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- 141582
- Practice address
- 4139 Briarglen
San Antonio, TX 78218-1521 - Phone
- (210) 590-8927
- NPI assigned
- Nov 17, 2015
- Last updated
- Nov 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | 141582 | TX | Primary |
Addresses
Primary practice location
4139 Briarglen
San Antonio, TX 78218-1521
Mailing address
4139 Briarglen
San Antonio, TX 78218-1521
Phone (210) 590-8927
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105931 | Other | TX | STATE LICENSE ASSISTED LIVING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 141582 | TX | MD | Point of Service |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447718400000",
"number": "1225402043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4139 BRIARGLEN",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782181521",
"telephone_number": "210-590-8927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4139 BRIARGLEN",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782181521",
"telephone_number": "210-590-8927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "RUSANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-17",
"last_updated": "2015-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "TX",
"license": "141582",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE ASSISTED LIVING",
"identifier": "105931",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.