PETER A. BROKISH (NPI# 1053519645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053519645 |
| Entity Type | Individual |
| Full Name | PETER A. BROKISH |
| Credential | M.D. |
| Practice Address |
4228 N Josey Ln Ste 100 Carrollton TX 75010-4600 |
| Mailing Address |
11511 Ne 10th St Bellevue WA 98004-8578 |
| Practice Telephone | 6943209821 |
| Mailing Telephone | 4255023000 |
| Mailing Fax Number | 4255023589 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2019-09-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | P1852 | TX | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | MD60915016 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 293617101 | 05 | |
| TX | TX LICENSE | P1852 | 01 |
| TX | DEA | FB1920885 | 01 |
| Street Address |
4228 N JOSEY LN STE 100 |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75010-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215392949 | Code 3 Emergency Partners At Carrollton, LLC | Clinic/Center | 4228 N Josey Ln Ste 100, Carrollton, TX 75010 | 2015-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043782907 | Timothy C. Pringle Md Pa | Surgery | 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 | 2018-12-17 |
| 1184106411 | Cindy T Vu | Occupational Therapy Assistant | 1877 Cheyenne, Carrollton, TX 75010 | 2018-09-04 |
| 1639686256 | Little Lantern Hospice LLC | Hospice Care, Community Based | 4541 North Josey Lane, Suite 110-b, Carrollton, TX 75010 | 2018-01-04 |
| 1235681610 | Kahini Shah | Physical Therapist | 1012 W Hebron Pkwy Ste 124, Carrollton, TX 75010 | 2016-11-01 |
| 1881148849 | Wais Azesh | Dentist | 1233 Apache Lake Dr, Carrollton, TX 75010 | 2016-08-08 |
| 1225485055 | Julia Buckelew | Physical Therapist | 4100 Fairway Dr Ste 400, Carrollton, TX 75010 | 2016-05-23 |
| 1811355639 | Fastpass Ucc, Pllc | Clinic/Center | 4228 N Josey Ln Ste 150, Carrollton, TX 75010 | 2016-02-08 |
| 1326404393 | Miaojuan Li | Nurse Practitioner | 4100 Fairway Dr Ste 300, Carrollton, TX 75010 | 2016-01-06 |
| 1912376112 | Envoy Hospice North LLC | Hospice Care, Community Based | 4040 Tx-121, Carrollton, TX 75010 | 2015-09-17 |
| 1932593936 | Lifeway Hospice, LLC | Hospice Care, Community Based | 4040 State Highway 121, Suite 140, Carrollton, TX 75010 | 2015-03-27 |
| Find all providers in zip 75010 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417428772 | Bowdon-mt Zion Primary Health Center Inc. | Family Medicine | 4248 Mount Zion Rd, Carrollton, GA 30117-7602 | 2018-12-16 |
| 1841761533 | Sewell Family Medicine and Urgent Care, P.C. | Family Medicine | 928 S Park St Ste H, Carrollton, GA 30117-4501 | 2018-12-06 |
| 1922515048 | Carrollton Primary Care Medicine Pllc | Family Medicine | 1809 Golden Trail Ct Ste 240, Carrollton, TX 75010-4667 | 2018-01-10 |
| 1598276610 | Healthpros Medical Center, Pllc | Family Medicine | 2548 Tarpley Rd, Carrollton, TX 75006-2328 | 2017-10-16 |
| 1912417858 | Akenjem Ebong Mba | Family Medicine | 1902 Country Club Dr Ste 160, Carrollton, TX 75006-5823 | 2017-10-05 |
| 1265783815 | Nirav A Patel | Family Medicine | 2761 E Trinity Mills Rd Ste 100, Carrollton, TX 75006-3507 | 2012-09-23 |
| 1275880163 | Lezlie Miller | Family Medicine | 3032 E Hebron Pkwy Ste 101, Carrollton, TX 75010-4465 | 2012-08-09 |
| 1265796049 | Carl R Fry | Family Medicine | 1020 Trump Rd Nw Ste 4, Carrollton, OH 44615-8423 | 2012-06-27 |
| 1679869317 | Harveer Singh Parmar | Family Medicine | 1212 N Josey Ln Ste 110, Carrollton, TX 75006-6103 | 2011-06-21 |
| 1215160197 | Jose P Parcon M D S C | Family Medicine | 727 9th St, Carrollton, IL 62016-1427 | 2009-08-26 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 75010 |
Please comment or provide details below to improve the information on PETER A. BROKISH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.