Brooke Dominique Birks

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

5151017172 Issued in MI

Practice address

925 City Central Ave
Conroe, TX 77304-2981

Phone

(936) 202-5202

NPI assigned

Apr 3, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1639874142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S LOOP 336 W APT 2327",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043332",
            "telephone_number": "832-562-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 CITY CENTRAL AVE",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042981",
            "telephone_number": "936-202-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRKS",
        "first_name": "BROOKE",
        "middle_name": "DOMINIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "5151017172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Biju
• Nimrat Kaur Bindra
• Biospectrum, LLC
• Shannon Marie Birdsong
• Anna Bjork Birgisson
• Jason Biscamp, M.D.
• Danielle Kathleen Blackwell, LAT, ATC
• Courtney Elizabeth Blanchard
• Tamara Nicole Blanton, APRN, FNP-C
• Lorenzo Gustavo Blas, M.D.

• Student in an Organized Health Care Education/Training Program in Conroe, TX
• Providers in Conroe, TX by specialty
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.