Beryl Ann Brigham, ACNP-BC
Individual provider Active NPI Nurse Practitioner · Graham, TX
NPI 1477636009 · NPPES record last updated Aug 3, 2025
Key facts
- NPI
- 1477636009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- AP115429 (TX)
- Practice address
- 1339 East St
Graham, TX 76450-4228 - Phone
- (940) 521-5500
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091029000036 | TX | Practitioner - Nurse Practitioner | 5890832562 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP115429 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wise Clinical Care Associates | Nurse Practitioner | Current |
Accepting new patients |
| Gainesville Community Hospital, Inc. | Current | Accepting new patients | |
| Gainesville Community Hospital, Inc. | Current |
Accepting new patients | |
| Jack County Hospital District | Current |
Accepting new patients | |
| Jack County Hospital District | Current |
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
- beryl.brigham.1@26154.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP115429 | TX | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 366546501 | Medicaid | TX | |
| 8613NZ | Other | TX | BCBS |
Other providers in Graham, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.