John D Middlebrook, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

M1242 Issued in TX

Practice address

504 Medical Center Blvd
Conroe, TX 77304-2808

Phone

(409) 539-1111

Fax

(409) 788-8044

NPI assigned

Jan 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Emerus Inpatient Providers SC

  • Emergency Medicine Physician
  • The Woodlands, TX
  • NPI 1881365609
  NPD Authorized official
• Greater Houston Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1316363336
  NPD (past)
• Leading Edge Emergency Physicians, Inc

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1003165259
  NPD (past)

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1477523306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200993",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772160993",
            "telephone_number": "281-784-1111",
            "fax_number": "281-784-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MEDICAL CENTER BLVD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042808",
            "telephone_number": "409-539-1111",
            "fax_number": "409-788-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLEBROOK",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M1242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX PROV NO",
            "identifier": "8P5093",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176199101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "1477523306",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176199102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael James Walls MD
• Michael Nell PC
• Avery Michalk
• Michelle L. Smith, Ma, LPC
• Stefanie Lynne Mickey, CPNP
• Rochelle Middleman, LMFT
• Nicole Midkiff
• Emily A Migl
• Miguel a. Riuz, DDS. PA
• Miguel Flores & Associates, P.a.

• Emergency Medicine Physician in Conroe, TX
• Providers in Conroe, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.