DR. KENNETH RYAN BROOKS (NPI# 1093930562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093930562 |
| Entity Type | Individual |
| Full Name | DR. KENNETH RYAN BROOKS |
| Credential | M.D. |
| Practice Address |
2020 Nasa Pkwy Suite 230 Houston TX 77058-3683 |
| Practice Telephone | 7133639090 |
| Mailing Telephone | 7133639090 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2016-06-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | N3515 | TX | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 4301088759 | MI | Allopathic & Osteopathic Physicians |
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
N3515 | TX | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
N3515 | TX | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
4301088759 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 206898301 | 05 | |
| TX | 206898304 | 05 | |
| MI | 5209565 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 8FU628 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740677905 | Kenneth Brooks Jr. | Music Therapist | 501 Pecan Acres Ct, Arlington, TX 76013-7100 | 2015-04-24 |
| 1427380930 | Kenneth L Brooks | Radiology | 10965 W Center Street Ext, Medina, NY 14103-9301 | 2010-02-08 |
| 1598989857 | Kenneth H Brooks | Dermatology | 846 Camino Ranchitos, Santa Fe, NM 87505-2840 | 2007-04-11 |
| 1841338696 | Kenneth Wayne Brooks | Optometrist | 2305 S Tucker St, Pittsburg, KS 66762-6530 | 2007-02-02 |
| 1104465210 | Kenneth Brooks | Behavior Technician | 3150 Crow Canyon Pl Ste 110, San Ramon, CA 94583-1716 | 2020-01-06 |
| 1568026912 | Kenneth Brooks | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr, San Antonio, TX 78229-3901 | 2019-04-30 |
| 1760851661 | Kenneth Mark Brooks | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-09-21 |
| 1750584298 | Kenneth E. Brooks II | Dentist | 676 N Michigan Ave, Suite 3500, Chicago, IL 60611-2883 | 2007-06-11 |
| 1568515153 | Kenneth W Brooks | Physician Assistant | 825 Ne 10th St, Oupb5200, Oklahoma City, OK 73104-5417 | 2007-01-19 |
| 1770630261 | Kenneth Brooks | Physician Assistant | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223-5349 | 2007-01-05 |
| Street Address |
2020 NASA PKWY SUITE 230 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77058-3683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568460798 | Nassau Bay Surgery Center | Clinic/Center | 2020 Nasa Pkwy, Suite 100, Houston, TX 77058-3683 | 2005-07-12 |
| 1760920755 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 2020 Nasa Pkwy, Suite 230, Houston, TX 77058-3683 | 2017-02-09 |
| 1487025789 | Kara Whiteley | Specialist | 2020 Nasa Pkwy, Houston, TX 77058-3683 | 2015-10-13 |
| 1891185088 | Thea Marie Lockett | Specialist/Technologist, Other | 2020 Nasa Pkwy, Suite 180, Houston, TX 77058-3683 | 2015-01-27 |
| 1215372156 | Kimberly M Carpin, Md, Pllc | Plastic Surgery | 2020 Nasa Pkwy, Suite 260, Houston, TX 77058-3683 | 2013-05-06 |
| 1366758823 | Erica Tomasa Coreas | Specialist/Technologist, Other | 2020 Nasa Pkwy, Suite 200, Houston, TX 77058-3683 | 2010-08-23 |
| 1447584750 | Huy Nhu Nguyen | Specialist/Technologist, Other | 2020 Nasa Pkwy, Suite 200, Houston, TX 77058-3683 | 2009-09-21 |
| 1255581948 | Michael A. Monmouth M.d., P.a. | Orthopaedic Surgery | 2020 Nasa Pkwy, Suite 200, Houston, TX 77058-3683 | 2008-09-30 |
| 1619171295 | Javier Antonio Rios | Family Medicine | 2020 Nasa Pkwy, Suite 230, Houston, TX 77058-3683 | 2007-06-14 |
| 1740484344 | Kimberly Marie Carpin | Surgery | 2020 Nasa Pkwy, Suite 260, Houston, TX 77058-3683 | 2007-06-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699248807 | Jolly Joseph | Nurse Practitioner | 18300, Houston Methodist, Houston, TX 77058 | 2019-01-10 |
| 1700372992 | Jasmin Elise Auzenne | Audiologist | 17625 El Camino Real Ste 155, Houston, TX 77058 | 2018-07-10 |
| 1053801225 | Dialyspa Vii LLC | Clinic/Center | 1411 Bonner St., Houston, TX 77058 | 2018-05-14 |
| 1699263285 | Pneucare, LLC | Durable Medical Equipment & Medical Supplies | 1322 Space Park Dr Ste C120, Houston, TX 77058 | 2018-04-29 |
| 1972005189 | Limy Fernandus | Nurse Practitioner | 985 E Nasa Pkwy, Houston, TX 77058 | 2018-03-03 |
| 1033623616 | Sigi Paul | Nurse Practitioner | 1210 El Camino Village Dr., Houston, TX 77058 | 2017-11-19 |
| 1881107845 | Jennifer Elise Hobson | Counselor | 1322 Space Park Dr Ste B123, Houston, TX 77058 | 2017-11-13 |
| 1174035778 | Agrarian Wellness, LLC | Registered Nurse | 17000 El Camino Real Ste 209, Houston, TX 77058 | 2017-11-04 |
| 1013468073 | Cynthia Bandemer | Counselor | 17300 El Camino Real Ste 107d, Houston, TX 77058 | 2016-10-14 |
| 1043698533 | Hopewell Home Healthcare LLC | Nursing Care | 18090 Kings Row, Houston, TX 77058 | 2015-05-15 |
| Find all providers in zip 77058 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922662212 | Renaxis, Pllc | Orthopaedic Surgery | 4126 Southwest Fwy Ste 1220, Houston, TX 77027-7338 | 2019-04-23 |
| 1740742402 | Otx Care of Tx Iv, LLC | Orthopaedic Surgery | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-02 |
| 1174050926 | Charlie Dee Wilson | Orthopaedic Surgery | 1885 El Paseo St Apt 33212, Houston, TX 77054-3069 | 2017-05-11 |
| 1518326859 | Texas Regional Spine Center, Pa | Orthopaedic Surgery | 9400 Westheimer Rd Ste 4, Houston, TX 77063-3468 | 2016-02-15 |
| 1427426345 | Patricia Faye Beaver | Orthopaedic Surgery | 3317 Amherst St, Houston, TX 77005-3333 | 2015-09-09 |
| 1518386572 | Kenneth B Ford Jr. | Orthopaedic Surgery | 1218 Fountain View Dr, Houston, TX 77057-2204 | 2014-04-07 |
| 1144587924 | Byron Parker York | Orthopaedic Surgery | 2155 Goldsmith St, Houston, TX 77030-1201 | 2012-04-18 |
| 1326323791 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 915 Gessner, Pro. 3, Suite 560, Houston, TX 77024 | 2011-10-18 |
| 1780978775 | James Terrance Carson | Orthopaedic Surgery | 11307 Fm 1960 Rd W Ste 320, Houston, TX 77065 | 2011-06-07 |
| 1831325026 | Eddie Huang | Orthopaedic Surgery | 11914 Astoria Blvd Ste 670, Medical Plaza 1, Houston, TX 77089-6081 | 2009-06-02 |
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| 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.