Individual provider Active NPI

Brooke Veith Stubbs, M.D., M.S.

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1548606080
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R3762 Issued in TX
Practice address
4107 Medical Pkwy Ste 216
Austin, TX 78756-3729
Phone
(512) 920-2414
NPI assigned
May 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X R3762 TX Primary

Addresses

Primary practice location

4107 Medical Pkwy Ste 216
Austin, TX 78756-3729

Mailing address

4107 Medical Pkwy Ste 216
Austin, TX 78756-3729
Phone (512) 920-2414

Other practice location 1

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 447-2211

Other practice location 2

601 E 15th St
Austin, TX 78701-1930
Phone (512) 324-8355

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL provider.kareo.com/brooke-stubbs Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 28, 2021 through Apr 28, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1548606080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 MEDICAL PKWY STE 216",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563729",
            "telephone_number": "512-920-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 MEDICAL PKWY STE 216",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563729",
            "telephone_number": "512-920-2414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 W Ben White Blvd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78704",
            "country_code": "US",
            "telephone_number": "512-447-2211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E 15th St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787011930",
            "country_code": "US",
            "telephone_number": "512-324-8355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUBBS",
        "first_name": "BROOKE",
        "middle_name": "VEITH",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R3762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "provider.kareo.com/brooke-stubbs",
            "affiliation": "N",
            "endpointDescription": "This is a link to my EMR where this is a direct messaging portal.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Portal Communciation",
            "address_1": "4107 Medical Pkwy Ste 216",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787563729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.