Porchae Brisby, NP
Individual provider Active NPI Family Nurse Practitioner · Granbury, TX
NPI 1952826232 · NPPES record last updated Jan 14, 2025
Key facts
- NPI
- 1952826232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP134584 (TX)
- Practice address
- 112 Maverick CT
Granbury, TX 76049-1381 - Phone
- (888) 731-8994
- NPI assigned
- Aug 8, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170914001057 | TX | Practitioner - Nurse Practitioner | 6204100209 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP134584 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nature to Nurture LLC | Current |
Accepting new patients | |
| Stephen F. Austin Community Health Center, Inc. | Current |
Accepting new patients | |
| TMH Physician Associates PLLC | Current |
Accepting new patients | |
| Costus Pharmaceuticals LLC | Current |
Accepting new patients | |
| Costus Medical Inc | Current |
Accepting new patients | |
| Villagemd of Southeast Texas, PA | Current |
Accepting new patients | |
| Stephen F Austin Community Health Center,Inc | Current |
Accepting new patients | |
| TMH Physician Associates PLLC | Current |
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
#100
Pearland, TX 77581
Phone (346) 398-7252
6122 Broadway St
Pearland, TX 77581
Phone (281) 412-4896
6122 Broadway St
Ste 100
Pearland, TX 77581
Interoperability endpoints
- porchae.freeman.4@13711.direct.athenahealth.com
- porchae.freeman.p2@direct.alegiscare.nextgenshare.com
- porchae.brisby.1@27069.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP134584 | TX | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | porchae.freeman.4@13711.direct.athenahealth.com |
Other providers in Granbury, TX
- Ashley Brawner
- Brazos Emergency Medicine Associates, PA
- Brazos Foot and Ankle Clinic P.a.
- Brazos Physician Services, PA
- Brazos Urology Clinic P a
- Crissie Alayne Brock
- Heather Renae Brogan-McCarty
- Meranda C Brooks
- Brookshire Grocery Company
- Dana Brookshire
All providers in Granbury, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.