Penny Marie Brookover, GNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

573034 Issued in TX

Practice address

6100 Harris Pkwy
Suite 250
Fort Worth, TX 76132-4101

Phone

(817) 263-8800

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• A Ray Lewis, DO, PLLC

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1053643130
  NPD (past)
• Diagnostic Swallowing Services

  • Diagnostic Radiology Physician
  • Sulphur Springs, TX
  • NPI 1750357117
  NPD (past)
• Lindas Alternative Care Inc

  • Assisted Living Facility
  • Arlington, TX
  • NPI 1508051186
  NPD (past)
• Medical Clinic of North Texas PLLC

  • Radiation Oncology Clinic/Center
  • Arlington, TX
  • NPI 1184131625
  NPD (past)
• Meta Medical Services PA

  • Geriatric Medicine (Family Medicine) Physician
  • Fort Worth, TX
  • NPI 1558331066
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316010507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 HARRIS PKWY",
            "address_2": "SUITE 250",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324101",
            "telephone_number": "817-263-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 HARRIS PKWY",
            "address_2": "SUITE 250",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324101",
            "telephone_number": "817-263-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKOVER",
        "first_name": "PENNY",
        "middle_name": "MARIE",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "573034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harshal Sunil Broker, MD
• Bronson Clinic, Inc.
• Ross Morgan Bronson, DC
• Brooke Haven Care Home LLC
• Alexandra Brookman
• Brooks Memorial Clinic Fort Worth
• Brooks Psychological, PLLC
• Brooks Surgery Clinic, PLLC
• Amy E Brooks, RD
• April R Brooks, PSY.D.

• Gerontology Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.