Olmer Ronnie Brooker, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E5012 Issued in TX

Practice address

1418 George Dieter Dr
Ste B
El Paso, TX 79936-7601

Phone

(915) 855-7900

Fax

(915) 855-7755

NPI assigned

May 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal MedicineAlso: Family Practice

Education

University of Texas Southwestern Medical School at Dallas, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

El Paso Primary Healthcare Physicians, P.a.Group PAC ID 6406873553, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grandview Health at Home Home health agency, El Paso, TX, CCN 679034
• The Hospitals of Providence - East Campus Hospital, El Paso, TX, CCN 670047

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drbrooker@primaryhealthcare.direct.emds.com

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.

• El Paso Primary Healthcare Physicians, P.a.

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1639120892
  Medicare reassignment Care Compare group NPD Authorized official
• El Paso Primary Healthcare Physician

  dba Physicians Healthcare Associates

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1811048085
  NPD (past)
• Physicians Healthcare Associates, P.a.

  • Family Medicine Physician
  • El Paso, TX
  • NPI 1245235977

  Internal Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• El Paso Nursing Services, Inc.

  • Home Health Agency
  • El Paso, TX
  • NPI 1568469989
  Care Compare affiliation
• Tenet Hospitals Limited

  dba The Hospitals of Providence East Campus

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1972709970
  Care Compare affiliation

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1952304297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11880 VISTA DEL SOL DR",
            "address_2": "STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366128",
            "telephone_number": "915-855-7900",
            "fax_number": "915-855-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 GEORGE DIETER DR",
            "address_2": "STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367601",
            "telephone_number": "915-855-7900",
            "fax_number": "915-855-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKER",
        "first_name": "OLMER",
        "middle_name": "RONNIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "E5012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123970905",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Shelton Broaddus, NP, CNM
• Hans Christian Brockhoff II, DDS
• Amanda Jacqueline Brockway, LMSW, LCDC
• Jennifer Brodbeck, BCBA
• Joscelyne Nicolle Brondo
• Allen Zachary Brooks, PT
• Courtney Mei-Young Brooks, DMD
• Eugene Nathaniel Brooks, M.D.
• Joshua Brooks, OTR/L
• Hermisecier Wynetta Broussard

• Internal Medicine Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.
• 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.