Brookside Health Initiatives

Primary specialty

Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X

Legal business name

BROOKSIDE HEALTH INITIATIVES

Practice address

1902 S Ih 35
Austin, TX 78704-3628

Phone

(512) 443-9595

Fax

(512) 443-7077

NPI assigned

Oct 17, 2023

Organization subpart

No

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

Authorized official

Name

Lendol L Davis, MDNPI 1255336855

Title

Director

Phone

(512) 443-9595

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lendol L. 'Tad' Davis, M.D.

  • Maternal & Fetal Medicine Physician
  • Austin, TX
  • NPI 1255336855

  Gynecology

  NPD Authorized official
• Andrew E Massman, M.D.

  • Obstetrics & Gynecology Physician
  • Austin, TX
  • NPI 1104896729
  NPD (past)

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1366224065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 S IH 35",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787043628",
            "telephone_number": "512-443-9595",
            "fax_number": "512-443-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 S IH 35",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787043628",
            "telephone_number": "512-443-9595",
            "fax_number": "512-443-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSIDE HEALTH INITIATIVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LENDOL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "512-443-9595",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie Mayes Brooks
• Susan Rene Brooks, L.AC.
• Kaitlyn E Brookshire
• Kristin Brookshire, LD, RDN
• Melanie Brookshire
• Brookside Womens Medical Center
• Brookside Womens Medical Services, PA
• Denise Michelle Broomhall, ARNP
• Ashley Brorby, LPC
• Erika W Brosnan, CNM

• Non-Surgical Family Planning Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Non-Surgical Family Planning Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.

Verify at the official NPI Registry.