Brooks Memorial Clinic Fort Worth

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G0262 Issued in TX

Legal business name

BROOKS MEMORIAL CLINIC FORT WORTH

Practice address

2200 Evans Ave
Fort Worth, TX 76104-6066

Phone

(817) 926-4693

Fax

(817) 920-9625

NPI assigned

Nov 14, 2013

Last updated

Nov 14, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sonya Hamilton Brooks

Title

Owner/Office Manager

Phone

(817) 926-4693

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jack L Mikeworth, D.C.

  • Chiropractor
  • Fort Worth, TX
  • NPI 1003952847
  NPD (past)

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1700216603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 EVANS AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761046066",
            "telephone_number": "817-926-4693",
            "fax_number": "817-920-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 EVANS AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761046066",
            "telephone_number": "817-926-4693",
            "fax_number": "817-920-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS MEMORIAL CLINIC FORT WORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "HAMILTON",
        "authorized_official_title_or_position": "OWNER/OFFICE MANAGER",
        "authorized_official_telephone_number": "817-926-4693"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G0262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bronson Clinic, Inc.
• Ross Morgan Bronson, DC
• Brooke Haven Care Home LLC (Brooke Haven Care Home)
• Alexandra Brookman
• Penny Marie Brookover, GNP
• Brooks Psychological, PLLC (Peaceful Brooks Wellness Group)
• Brooks Surgery Clinic, PLLC
• Amy E Brooks, RD
• April R Brooks, PSY.D.
• Beata Marianna Brooks, CCC/SLP

• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.