Brooke Army Medical Center

Primary specialty

Military HospitalTaxonomy code 286500000X

Legal business name

BROOKE ARMY MEDICAL CENTER

Practice address

3851 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4501

Phone

(210) 916-4141

NPI assigned

Oct 6, 2006

Reactivated

Jul 25, 2025

Last updated

Jul 25, 2025By 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

Charon Monique Seymore

Title

Ubo Manager

Phone

(210) 916-8563

Specialties & licenses 5

Addresses

Other identifiers 5

Other names 1

• AMC BAMC-FSH Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922195510. Details of each certification follow.

• CCN 45069F Hospital · Active · Details

Hospital certification: CCN 45069F

Legal name

BROOKE ARMY MEDICAL CENTER

Certification status

Active

Provider type (POS)

Hospital

Participating since

Mar 1, 1991

Last certification

Mar 1, 1991

Beds

950

Organization structure

OtherNon-profit

Enrollment address

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Main/Primary Hospital Location

Hospital subgroups

General

Listed as

Brooke Army Medical Center (FT Sam Houston)CCN 45069F · All quality measures

Type

Acute Care - Department of Defense

Ownership

Department of Defense

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

Yes

Tax ID family

AMC Bamc-FSH4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• AMC Bamc-FSH

  dba Ft Sam Cbpcc WH Phcy

  • Military/U.S. Coast Guard Pharmacy
  • San Antonio, TX
  • NPI 1457742785
  NPD tax ID
• AMC Bamc-FSH

  dba DoD FT SAM ePhcy

  • Military/U.S. Coast Guard Pharmacy
  • Fort Sam Houston, TX
  • NPI 1649683400
  NPD tax ID
• AMC Bamc-FSH

  dba DoD FT SAM COMMUNITY ePhcy

  • Military/U.S. Coast Guard Pharmacy
  • Fort Sam Houston, TX
  • NPI 1831502590
  NPD tax ID

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 3

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.

• Francisco Dominguez Jr., M.D.

  • Cardiovascular Disease Physician
  • Jbsa Fort Sam Houston, TX
  • NPI 1255431540
  NPD (past)
• Annamari Maaranen, PSY.D.

  • Psychologist
  • Fort Sam Houston, TX
  • NPI 1205214921
  NPD (past)
• Thang N Pham, MD

  • Internal Medicine Physician
  • Fort Sam Houston, TX
  • NPI 1336130731
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1922195510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "address_2": "MCHE-COU-M DEPT 211",
            "city": "FT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344501",
            "telephone_number": "210-916-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 ROGER BROOKE DR",
            "city": "JBSA FT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344501",
            "telephone_number": "210-916-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKE ARMY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "deactivation_date": "2025-06-30",
        "reactivation_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "SEYMORE",
        "authorized_official_first_name": "CHARON",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "UBO MANAGER",
        "authorized_official_telephone_number": "210-916-8563"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1101X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS PROVIDER NUMBER",
            "identifier": "HH6037",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4503884",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021756401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS PROVIDER NUMBER",
            "identifier": "36JK",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCO",
            "identifier": "AN2598588",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMC BAMC-FSH",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "AMC BAMC-FSH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• William Bornt Jr.
• Demetris Bounds
• Sarah Nightingale Bowe, M.D.
• Samantha Boyd, M.D
• Devin Broadhead, DO
• Sarah Kristen Brown-Fernandez, CNM
• Charisse Brown-Moran
• Amy Nichole Brown, MD
• Andrew Bernard Brown
• Michael John Browning, DMD

• Military Hospital in Jbsa Ft Sam Houston, TX
• Providers in Jbsa Ft Sam Houston, TX by specialty
• Military Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.