Edward Orland Brooks III, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

N9819 Issued in TX

Practice address

405 Ray Rd
Holliday, TX 76366-3852

Phone

(225) 505-5004

NPI assigned

Apr 27, 2009

Last updated

Sep 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

University of Mississippi School of Medicine, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Brushy Creek Emergency PhysiciansGroup PAC ID 8729483854, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Brushy Creek Family Hospital LLC Hospital, Round Rock, TX, CCN 670326

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brushy Creek Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Round Rock, TX
  • NPI 1235773151
  Medicare reassignment Care Compare group NPD
• Lake Travis Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1851803688
  Medicare reassignment NPD
• West Texas Urgent Care LLC

  dba My Urgent Care Clinic

  • Urgent Care Clinic/Center
  • Abilene, TX
  • NPI 1194146399
  Medicare reassignment NPD
• West Texas Urgent Care LLC

  dba My Urgent Care Bergheim

  • Urgent Care Clinic/Center
  • Boerne, TX
  • NPI 1013764695
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Brushy Creek Family Hospital, LLC

  • General Acute Care Hospital
  • Round Rock, TX
  • NPI 1588215461
  Care Compare affiliation

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1679717292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 RAY RD",
            "city": "HOLLIDAY",
            "state": "TX",
            "postal_code": "763663852",
            "telephone_number": "225-505-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 RAY RD",
            "city": "HOLLIDAY",
            "state": "TX",
            "postal_code": "763663852",
            "telephone_number": "225-505-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "EDWARD",
        "middle_name": "ORLAND",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-27",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N9819",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD.204067",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "21707",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AK",
            "license": "6261",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared William Clark, PHARMD
• D & E Pharmaceutical Services (Eagle Pharmacy)
• Mary Hansen X, CARE GIVER
• Dustin Hays, R.PH.
• Holliday Independent School District

• Emergency Medicine Physician in Holliday, TX
• Providers in Holliday, 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 Sep 20, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.