Brandi Michelle Cooper, FNP-C
Individual provider Active NPI Nurse Practitioner · Borger, TX
NPI 1699315879 · NPPES record last updated Apr 11, 2023
Key facts
- NPI
- 1699315879
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- AP144511 (TX)
- Practice address
- 100 S McGee St
Borger, TX 79007-4041 - Phone
- (806) 274-5131
- Fax
- (806) 274-5132
- NPI assigned
- Jan 15, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Beacon Behavioral of Texas PA
Practice addresses (Care Compare)
1901 Medi Park Dr
Suite 2058
Amarillo, TX 79106-2109
Phone (806) 354-9540
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 |
|---|---|---|---|---|
| I20210308000423 | TX | Practitioner - Nurse Practitioner | 6800202441 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Behavioral of Texas PA | Current |
Accepting new patients | |
| GPCH, LLC | Current |
Accepting new patients | |
| GPCH, LLC | Current |
Accepting new patients | |
| GPCH, LLC | Current | Accepting new patients |
Locations
22 Prestige Cir
Ste 200
Allen, TX 75002
Phone (214) 383-3200
1901 Medi Park Dr
Ste 2058
Amarillo, TX 79106
Phone (806) 354-9540
100 S McGee St
Borger, TX 79007
Phone (806) 273-7118
202 S McGee St
Ste B
Borger, TX 79007
Phone (806) 467-5804
100 Medical Dr
Borger, TX 79007
Phone (806) 273-1100
550 Westcott St
Ste 520
Houston, TX 77007
Phone (713) 864-6694
Interoperability endpoints
- brandi.cooper.p1@direct.gpspecialtyclinic.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP144511 | TX | Yes |
Addresses
Primary practice location
100 S McGee St
Borger, TX 79007-4041
Mailing address
PO Box 948
Stinnett, TX 79083-0948
Phone (806) 443-6213
Other providers in Borger, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2023. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.