Active NPI
Broc Enrique Ramon Depena Sanchez, APRN (NP)
- Psychiatric/Mental Health Nurse Practitioner
- Dallas, TX
National Provider Identifier
1255339362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP108991
- Practice address
- 9331 E Lake Highlands Dr
Dallas, TX 75218-2723 - Phone
- (214) 328-8378
- NPI assigned
- Jul 12, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP108991 | TX | |
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 090010-23 | NH | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP108991 | TX | Primary |
Addresses
Primary practice location
9331 E Lake Highlands Dr
Dallas, TX 75218-2723
Mailing address
9331 E Lake Highlands Dr
Dallas, TX 75218-2723
Phone (972) 859-9934
Other identifiers 23
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 090010-23 | Other | NH | CLINIC NURSE SPECIALIST-ADULT PSYCHIATRIC MENTAL HEALTH |
| FNP009228 | Medicaid | TX | |
| 02687 | Other | TX | STATE PRESCRIPTIVE NUMBER |
| 090010-23 | Other | NH | FAMILY PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER |
| 69929 | Other | NM | CERTIFIED NURSE PRACTITIONER-FAMILY NURSE PRACTITIONER |
| NUR-APRN-LIC-204079 | Other | MT | CLINICAL NURSE SPECIALIST-ADULT PSYCHIATRIC MENTAL HEALTH |
| APRN-3756 | Other | HI | FAMILY PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER |
| 0327382 | Other | TX | FAMILY NURSE PRACTITIONER -BOARD CERTIFICATION-ANCC |
| 090010-23 | Other | NH | FAMILY NURSE PRACTITIONER |
| AP108991 | Other | TX | ADVANCED PRACTICE REGISTERED NURSE LICENSE |
| AP61367800 | Other | WA | ADVANCED RN PRACTITIONER-FAMILY PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER |
| NUR-APRN-LIC-204079 | Other | MT | CERTIFIED NURSE PRACTITIONER-FAMILY PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONER |
| 249794 | Other | TX | REGISTERED NURSE LICENSE |
| 60129595 | Other | TX | PREVIOUS-DEPARTMENT OF PUBLIC SAFETY -CONTROLLED SUBSTANCE REGISTRATION |
| AP61367800 | Other | WA | CERTIFIED NURSE PRACTITIONER-FAMILY NURSE PRACTITIONER |
| APRN-3756 | Other | HI | FAMILY NURSE PRACTITIONER |
| NUR-APRN-LIC-204079 | Other | MT | CERTIFIED NURSE PRACTITIONER-FAMILY NURSE PRACTITIONER |
| 108122 | Other | HI | REGISTERED NURSE |
| 69929 | Other | NM | CERTIFIED NURSE PRACTITIONER-FAMILY PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER |
| APRN-3756 | Other | HI | ADULT PSYCHIATRIC & MENTAL HEALTH CLINICAL NURSE SPECIALISTS |
| 0359671-35 | Other | TX | PSYCHIATRIC AND MENTAL HEALTH NURSE PRACTITIONER BOARD CERTIFICATION-ANCC |
| AP61367799 | Other | WA | CLINICAL NURSE SPECIALIST-ADULT PSYCHIATRIC MENTAL HEALTH |
| RN61367656 | Other | WA | REGISTERED NURSE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090010-23 | NH | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1255339362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9331 E LAKE HIGHLANDS DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752182723",
"telephone_number": "972-859-9934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9331 E LAKE HIGHLANDS DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752182723",
"telephone_number": "214-328-8378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "BROC",
"middle_name": "ENRIQUE RAMON DEPENA",
"name_prefix": "Dr.",
"credential": "APRN (NP)",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2023-03-07",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP108991",
"primary": false
},
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "NH",
"license": "090010-23",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP108991",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINIC NURSE SPECIALIST-ADULT PSYCHIATRIC MENTAL HEALTH",
"identifier": "090010-23",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FNP009228",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PRESCRIPTIVE NUMBER",
"identifier": "02687",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMILY PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER",
"identifier": "090010-23",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED NURSE PRACTITIONER-FAMILY NURSE PRACTITIONER",
"identifier": "69929",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINICAL NURSE SPECIALIST-ADULT PSYCHIATRIC MENTAL HEALTH",
"identifier": "NUR-APRN-LIC-204079",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMILY PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER",
"identifier": "APRN-3756",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMILY NURSE PRACTITIONER -BOARD CERTIFICATION-ANCC",
"identifier": "0327382",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMILY NURSE PRACTITIONER",
"identifier": "090010-23",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANCED PRACTICE REGISTERED NURSE LICENSE",
"identifier": "AP108991",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANCED RN PRACTITIONER-FAMILY PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER",
"identifier": "AP61367800",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED NURSE PRACTITIONER-FAMILY PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONER",
"identifier": "NUR-APRN-LIC-204079",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE LICENSE",
"identifier": "249794",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREVIOUS-DEPARTMENT OF PUBLIC SAFETY -CONTROLLED SUBSTANCE REGISTRATION",
"identifier": "60129595",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED NURSE PRACTITIONER-FAMILY NURSE PRACTITIONER",
"identifier": "AP61367800",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMILY NURSE PRACTITIONER",
"identifier": "APRN-3756",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED NURSE PRACTITIONER-FAMILY NURSE PRACTITIONER",
"identifier": "NUR-APRN-LIC-204079",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE",
"identifier": "108122",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED NURSE PRACTITIONER-FAMILY PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER",
"identifier": "69929",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADULT PSYCHIATRIC & MENTAL HEALTH CLINICAL NURSE SPECIALISTS",
"identifier": "APRN-3756",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHIATRIC AND MENTAL HEALTH NURSE PRACTITIONER BOARD CERTIFICATION-ANCC",
"identifier": "0359671-35",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINICAL NURSE SPECIALIST-ADULT PSYCHIATRIC MENTAL HEALTH",
"identifier": "AP61367799",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE",
"identifier": "RN61367656",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.