Individual provider Active NPI

Brooke Ruth Wagen, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Austin, TX
National Provider Identifier
1871114561
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
U1789 Issued in TX
Practice address
2802 Webberville Rd
Austin, TX 78702-2947
Phone
(512) 978-8130
NPI assigned
May 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X U1789 TX Primary

Addresses

Primary practice location

2802 Webberville Rd
Austin, TX 78702-2947

Mailing address

1111 E Cesar Chavez St
Austin, TX 78702-4209
Phone (512) 978-8130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220000629 TX Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 9638513542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Travis County Healthcare DistrictGroup PAC ID 5890843858, 30 clinicians

Practice addresses (Care Compare)

2802 Webberville Rd
Austin, TX 78702-2947
Phone (512) 978-8130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
U1789TXMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Palliative Care Associates Hospice and Palliative Medicine CurrentSince Jan 10, 2024 Accepting new patients
Travis County Healthcare District Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Community Care Collaborative PastSince Sep 15, 2024 Accepting new patients
Hospice Austin Past Accepting new patients

Locations

2820 E Mlk Blvd
Austin, TX 78702
Phone (512) 322-0747

1111 E Cesar Chavez St
Austin, TX 78702
Phone (512) 978-8000

4107 Spicewood Springs Rd
Ste 100
Austin, TX 78759
Phone (512) 342-4700

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1871114561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E CESAR CHAVEZ ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787024209",
            "telephone_number": "512-978-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 WEBBERVILLE RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787022947",
            "telephone_number": "512-978-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGEN",
        "first_name": "BROOKE",
        "middle_name": "RUTH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "U1789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.