Anna Janelle Denooyer Broadnax, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

P8861 Issued in TX

Practice address

2201 Long Prairie Rd Ste 107-713
Flower Mound, TX 75022-4832

Phone

(972) 833-2163

Fax

(972) 833-2924

NPI assigned

Jul 23, 2010

Last updated

Jun 17, 2020By the provider in NPPES

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

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1366755944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 LONG PRAIRIE RD STE 107-713",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224832",
            "telephone_number": "972-833-2163",
            "fax_number": "972-833-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 LONG PRAIRIE RD STE 107-713",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224832",
            "telephone_number": "972-833-2163",
            "fax_number": "972-833-2924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3551 Justin Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750286202",
            "country_code": "US",
            "telephone_number": "469-804-8325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROADNAX",
        "first_name": "ANNA",
        "middle_name": "JANELLE DENOOYER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-23",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P8861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.