Individual provider Active NPI

Beryl Ann Brigham, ACNP-BC

  • Nurse Practitioner
  • Graham, TX
National Provider Identifier
1477636009
Registry record updated Aug 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP115429 Issued in TX
Practice address
1339 East St
Graham, TX 76450-4228
Phone
(940) 521-5500
NPI assigned
Oct 24, 2006
Last updated
Aug 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP115429 TX Primary

Addresses

Primary practice location

1339 East St
Graham, TX 76450-4228

Mailing address

340 County Road 3336
Paradise, TX 76073-2416
Phone (940) 399-9925

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091029000036 TX Practitioner - Nurse Practitioner 5890832562 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gainesville Community Hospital, Inc. Current Accepting new patients
Wise Clinical Care Associates Nurse Practitioner CurrentSince Aug 1, 2016 Accepting new patients
Jack County Hospital District CurrentSince Jan 1, 2024 Accepting new patients
Gainesville Community Hospital, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Jack County Hospital District CurrentSince Jan 1, 2024 Accepting new patients
Wise Clinical Care Associates Past Accepting new patients

Locations

133 N FM 730
Unit 105
Boyd, TX 76023
Phone (940) 433-2151

2014 Ben Merritt Dr
Ste A
Decatur, TX 76234
Phone (940) 249-9009

1627 N Grand Ave
Spc Of
Gainesville, TX 76240
Phone (940) 668-6878

1902 Hospital Blvd
Gainesville, TX 76240
Phone (940) 612-8750

215 Chisholm Trl
Jacksboro, TX 76458
Phone (940) 567-5528

Interoperability endpoints

  • Direct secure messaging: beryl.brigham.1@26154.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754179200000",
    "number": "1477636009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 COUNTY ROAD 3336",
            "city": "PARADISE",
            "state": "TX",
            "postal_code": "760732416",
            "telephone_number": "940-399-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 EAST ST",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764504228",
            "telephone_number": "940-521-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHAM",
        "first_name": "BERYL",
        "middle_name": "ANN",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2025-08-03",
        "certification_date": "2025-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP115429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Graham, TX

Sources for this page

Verify at the official NPI Registry.