Active NPI
Brooke A Hodnick, P.A.
- Physician Assistant
- Southlake, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA03973
- Practice address
- 505 S Nolen Dr Ste a
Southlake, TX 76092-9167 - Phone
- (817) 424-1525
- Fax
- (817) 424-3491
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA03973 | TX | Primary |
Addresses
Primary practice location
505 S Nolen Dr Ste a
Southlake, TX 76092-9167
Mailing address
PO Box 35629
Dallas, TX 75235-0629
Phone (214) 424-2200
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040908001604 | TX | Practitioner - Physician Assistant | 9032184973 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Texas Digestive Disease Consultants, PLLC
Practice addresses (Care Compare)
3032 Communications Pkwy
Plano, TX 75093-8913
Phone (972) 943-8440
505 S Nolen Dr
A
Southlake, TX 76092-9167
Phone (817) 424-1525
5425 W Spring Creek Pkwy
Suite 205
Plano, TX 75024-4236
Phone (972) 526-5860
P O Box
Suite 35629
Dallas, TX 75235-0629
PO Box
Suite 35629
Dallas, TX 75235-0629
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.98 of 100
- Quality
- 66.51
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 71.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Digestive Disease Consultants, PLLC | Current | Accepting new patients | |
| The ENT & Allergy Centers of Texas, PLLC | Past | Accepting new patients | |
| Texas Digestive Disease Consultants, PLLC | Past | Accepting new patients |
Locations
505 S Nolen Dr
Ste A
Southlake, TX 76092
Phone (817) 424-1525
Organizations & group practices 9
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.
-
- Clinical Medical Laboratory
- Bedford, TX
- NPI 1275739815
-
- Gastroenterology Physician
- Covington, LA
- NPI 1295428415
-
- Gastroenterology Physician
- Springdale, AR
- NPI 1508400425
-
- Gastroenterology Physician
- Rochester, NY
- NPI 1568283422
-
- Gastroenterology Physician
- Picayune, MS
- NPI 1962215129
-
- Gastroenterology Physician
- Cary, NC
- NPI 1619790821
-
- Gastroenterology Physician
- Southlake, TX
- NPI 1649256546
-
- Otolaryngology Physician
- McKinney, TX
- NPI 1144470873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625788800000",
"number": "1437294170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35629",
"city": "DALLAS",
"state": "TX",
"postal_code": "752350629",
"telephone_number": "214-424-2200",
"fax_number": "214-231-2159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 S NOLEN DR STE A",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760929167",
"telephone_number": "817-424-1525",
"fax_number": "817-424-3491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODNICK",
"first_name": "BROOKE",
"middle_name": "A",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2021-07-09",
"certification_date": "2021-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA03973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.