Individual provider Active NPI

Porchae Brisby, NP

  • Family Nurse Practitioner
  • Granbury, TX
National Provider Identifier
1952826232
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134584 Issued in TX
Practice address
112 Maverick CT
Granbury, TX 76049-1381
Phone
(888) 731-8994
NPI assigned
Aug 8, 2017
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP134584 TX Primary

Addresses

Primary practice location

112 Maverick CT
Granbury, TX 76049-1381

Mailing address

3406 Halladay Way
Iowa Colony, TX 77583-1873
Phone (346) 543-5625

Other practice location 1

6122 Broadway St
Pearland, TX 77581-7804
Phone (713) 461-2915

Other practice location 2

100 Sun Ave NE Ste 650
Albuquerque, NM 87109-4670
Phone (888) 731-8994

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address porchae.freeman.4@13711.direct.athenahealth.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170914001057 TX Practitioner - Nurse Practitioner 6204100209 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Jul 10, 2023 Accepting new patients
TMH Physician Associates PLLC CurrentSince Jul 10, 2023 Accepting new patients
Nature to Nurture LLC CurrentSince Dec 3, 2023 Accepting new patients
Costus Medical Inc CurrentSince Oct 1, 2024 Accepting new patients
Stephen F. Austin Community Health Center, Inc. CurrentSince Feb 14, 2024 Accepting new patients
Costus Pharmaceuticals LLC CurrentSince Oct 1, 2024 Accepting new patients
Villagemd of Southeast Texas, PA CurrentSince Oct 1, 2019 Accepting new patients
Stephen F Austin Community Health Center,Inc CurrentSince Feb 14, 2024 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients
Integrative Womens Care PC Past Accepting new patients

Locations

1111 W Adoue St
Alvin, TX 77511
Phone 2818241480 ext. 1594

4005 Technology Rd
Ste 1190
Angleton, TX 77515

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

8810 Antoine Dr
Houston, TX 77088
Phone (346) 398-7181

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701

2710 FM 1092 Rd
Ste E
Missouri City, TX 77459
Phone (832) 650-0364

6122 Broadway St
Pearland, TX 77581
Phone (281) 412-4896

6122 Broadway St
#100
Pearland, TX 77581
Phone (346) 398-7252

6122 Broadway St
Ste 100
Pearland, TX 77581

Interoperability endpoints

  • Direct secure messaging: porchae.brisby.1@27069.direct.athenahealth.com
  • Direct secure messaging: porchae.freeman.4@13711.direct.athenahealth.com
  • Direct secure messaging: porchae.freeman.p2@direct.alegiscare.nextgenshare.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1952826232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 HALLADAY WAY",
            "city": "IOWA COLONY",
            "state": "TX",
            "postal_code": "775831873",
            "telephone_number": "346-543-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MAVERICK CT",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760491381",
            "telephone_number": "888-731-8994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6122 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775817804",
            "country_code": "US",
            "telephone_number": "713-461-2915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Sun Ave NE Ste 650",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871094670",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRISBY",
        "first_name": "PORCHAE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "porchae.freeman.4@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "6122 Broadway St",
            "city": "Pearland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775817804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

Verify at the official NPI Registry.