Brookside Womens Medical Services, PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BROOKSIDE WOMENS MEDICAL SERVICES, PA

Practice address

1902 S I H 35
Austin, TX 78704-3628

Phone

(512) 443-9595

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Lendol L. Davis, M.D.NPI 1255336855

Title

Owner

Phone

(512) 443-9595

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brookside Womens Medical Services Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lendol L. 'Tad' Davis, M.D.

  • Maternal & Fetal Medicine Physician
  • Austin, TX
  • NPI 1255336855
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1740336171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 S I H 35",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787043628",
            "telephone_number": "512-443-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 S I H 35",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787043628",
            "telephone_number": "512-443-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSIDE WOMENS MEDICAL SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LENDOL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-443-9595",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179483601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookside Womens Medical Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kaitlyn E Brookshire
• Kristin Brookshire, LD, RDN
• Melanie Brookshire
• Brookside Health Initiatives
• Brookside Womens Medical Center
• Denise Michelle Broomhall, ARNP
• Ashley Brorby, LPC
• Erika W Brosnan, CNM
• Shawn Brossart, LCSW
• Ericka Brothers, L.P.; PSYD

• Specialist in Austin, TX
• Providers in Austin, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.