Donna Thompson Broach, RNC, CPNP, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

516184 Issued in TX

Practice address

1903 Mulberry Ave
Mount Pleasant, TX 75455-2369

Phone

(903) 572-2957

Fax

(903) 572-0696

NPI assigned

Jul 19, 2006

Last updated

Mar 21, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

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.

• South Texas Family Planning & Health Corporation

  dba Family Planning Clinic - Corpus Christi

  • Non-Surgical Family Planning Clinic/Center
  • Corpus Christi, TX
  • NPI 1760535660
  NPD
• South Texas Family Planning & Health Corporation

  dba Family Planning Clinic - Kingsville

  • Non-Surgical Family Planning Clinic/Center
  • Kingsville, TX
  • NPI 1831242734
  NPD
• South Texas Family Planning & Health Corporation

  dba Family Planning Clinic - Beeville

  • Non-Surgical Family Planning Clinic/Center
  • Beeville, TX
  • NPI 1922151828
  NPD

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1811916869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 N ALLEN ST",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783823106",
            "telephone_number": "903-563-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 MULBERRY AVE",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552369",
            "telephone_number": "903-572-2957",
            "fax_number": "903-572-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROACH",
        "first_name": "DONNA",
        "middle_name": "THOMPSON",
        "credential": "RNC, CPNP, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "516184",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "516184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102267501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102267502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "86N522",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Jo Branham, APRN, PMHNP-BC
• Susan L Branham, RN, ANP-BC, PMHNP-BC
• Bratton Healthcare Clinic, PLLC
• Bratton Healthcare Enterprises PLLC
• Sheletha Renee Bratton, FNP
• Brooks Hearing,LLC
• Brookshire Grocery Company (Super 1 Pharmacy)
• Brown Medical Group, P.a.
• Annette R. Brown, SLP
• Cynthia D Brown, M.D.

• Women's Health Nurse Practitioner in Mount Pleasant, TX
• Providers in Mount Pleasant, TX by specialty
• Women's Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.