Individual provider Active NPI

Brooke Taylor

  • Physician Assistant
  • Galveston, TX
National Provider Identifier
1255780060
Registry record updated Aug 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10901 Issued in TX
Practice address
2211 32ND St
Galveston, TX 77550-7614
Phone
(832) 683-2221
NPI assigned
Jun 13, 2016
Last updated
Aug 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10901 TX Primary

Addresses

Primary practice location

2211 32ND St
Galveston, TX 77550-7614

Mailing address

2211 32ND St
Galveston, TX 77550-7614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170216002346 TX Practitioner - Physician Assistant 1850674896 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

125 Medical Park LN
Huntsville, TX 77340-4957

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Huntsville Community Hospital, Inc. Physician Assistant CurrentSince Mar 13, 2023 Accepting new patients
Huntsville Community Hospital, Inc. CurrentSince Mar 13, 2023 Accepting new patients

Locations

125 Medical Park Ln
Ste D
Huntsville, TX 77340
Phone (936) 400-7221

Interoperability endpoints

  • Direct secure messaging: brooke.taylor.1@13218.direct.athenahealth.com
  • Direct secure messaging: brooke.taylor.1@22902.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502236800000",
    "number": "1255780060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 32ND ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775507614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 32ND ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775507614",
            "telephone_number": "832-683-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BROOKE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2017-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.