Active NPI
Louise Marie Brooker, PA-C
- Adult Reconstructive Orthopaedic Surgery Physician
- Amarillo, TX
National Provider Identifier
1750400636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- PA00898
- Practice address
- 4514 Cornell St
Suite B
Amarillo, TX 79109-5800 - Phone
- (806) 355-6552
- Fax
- (806) 468-0340
- NPI assigned
- Mar 29, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | PA00898 | TX | Primary |
Addresses
Primary practice location
4514 Cornell St
Suite B
Amarillo, TX 79109-5800
Mailing address
4514 Cornell St
Suite B
Amarillo, TX 79109-5800
Phone (806) 355-6552
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8047M0 | Other | TX | BLUECROSS BLUESHIELD |
| 4557060001 | Other | TX | PALMETTO GBA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA00898 | TX | MD | Adult Reconstructive Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750400636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4514 CORNELL ST",
"address_2": "SUITE B",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791095800",
"telephone_number": "806-355-6552",
"fax_number": "806-468-0340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4514 CORNELL ST",
"address_2": "SUITE B",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791095800",
"telephone_number": "806-355-6552",
"fax_number": "806-468-0340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKER",
"first_name": "LOUISE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "TX",
"license": "PA00898",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "8047M0",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "4557060001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
- Paul Dustin Broadbent, CRNA
- Brock W Lovett
- Joseph Craig Brock, L.A.T.
- Peyton Nicole Bronson, APRN, FNP-C
- Andrew F Brooker Jr., M.D. PA
- Charles Douglas Brooks, MD
- Hanna Brooks, LPC
- Patricia Ann Brooks, LMFT
- Brookstan Pharmacy LLC (Medical Square Pharmacy)
- Brookstan Pharmacy LLC (Medical Square Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.