DR. EDWARD BROOKE ROBERTS (NPI# 1174528848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174528848 |
| Entity Type | Individual |
| Full Name | DR. EDWARD BROOKE ROBERTS |
| Credential | M.D. |
| Practice Address |
12930 East Fwy Houston TX 77015-5710 |
| Practice Telephone | 7134536909 |
| Practice Fax Number | 7134537627 |
| Mailing Telephone | 7134536909 |
| Mailing Fax Number | 7134537627 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2008-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | K8969 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 042245302 | 05 | |
| MEDICARE RAILROAD | 200040017 | 01 | |
| TX | BLUE CROSS | 88772S | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046676 | Edward Roberts | Massage Therapist | 18134 Garvin Ave, Port Charlotte, FL 33948-1914 | 2020-09-02 |
| 1720498058 | Edward Andrew Roberts | Chiropractor | 1710 Gallatin Pike N, Madison, TN 37115 | 2014-05-08 |
| 1053686576 | Edward Reed Roberts Sr. | Social Worker | 3801 Canal St #320, New Orleans, LA 70119 | 2012-03-16 |
| 1710252705 | Edward Roy Roberts | Community Health Worker | 20518 Laverton Dr, Katy, TX 77450-2013 | 2012-03-09 |
| 1245453968 | Edward Vaden Roberts | Dentist | 4608b South Harvard Ave, Tulsa, OK 74135 | 2007-04-11 |
| 1780671925 | Edward Scott Roberts | Chiropractor | 260 Hartnell Ave, Redding, CA 96002-1844 | 2005-10-03 |
| 1689660227 | Edward J Roberts | Physician Assistant | 13137 N Clio Rd, Clio, MI 48420-1028 | 2005-09-20 |
| 1114226933 | Edward Tarpeh Roberts | Case Manager/Care Coordinator | 10427 Detroit Ave, Cleveland, OH 44102-1645 | 2011-03-18 |
| 1255647525 | Edward Roberts IIi | Dentist | 1144 Newport Ave, Attleboro, MA 02703-7033 | 2010-08-25 |
| 1871611251 | Edward Roberts | Psychiatry & Neurology | 12800 E Warren Ave, Detroit, MI 48215-2061 | 2007-03-26 |
| Street Address |
12930 EAST FWY |
| City | HOUSTON |
| State | TX |
| Zip Code | 77015-5710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982609954 | David Crow Randall | Specialist | 12930 East Fwy, Houston, TX 77015-5710 | 2005-06-16 |
| 1952704694 | Barbara M Kriner | Registered Nurse | 12930 East Fwy, Houston, TX 77015-5710 | 2014-10-08 |
| 1437552171 | Carol J Pachuta | Registered Nurse | 12930 East Fwy, Houston, TX 77015-5710 | 2014-10-08 |
| 1932456258 | Erik H Mahlstedt | Physician Assistant | 12930 East Fwy, Houston, TX 77015-5710 | 2012-08-06 |
| 1508030917 | Advanced Surgeons & Physicians Network, Inc. | Emergency Medicine | 12930 East Fwy, Houston, TX 77015-5710 | 2008-04-16 |
| 1386691905 | Brooke H Weidig | Physician Assistant | 12930 East Fwy, Houston, TX 77015-5710 | 2006-05-28 |
| 1962450858 | Stephanie Maria Stekier | Specialist | 12930 East Fwy, Houston, TX 77015-5710 | 2006-05-04 |
| 1760488241 | East Houston Orthopedics & Sports Medicine, P.a. | Specialist | 12930 East Fwy, Houston, TX 77015-5710 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144701061 | Elsa Marquez | Registered Nurse | 14223 Wadebridge Way, Houston, TX 77015 | 2018-08-28 |
| 1730544065 | Fresenius Medical Care Northeast Houston, LLC | Clinic/Center | 4810 E Sam Houston Pkwy N, Houston, TX 77015 | 2015-12-31 |
| 1316338650 | Candice Rogers | Physical Therapy Assistant | 13649 East Freeway, Houston, TX 77015 | 2015-02-09 |
| 1114346301 | Michael William Chang | Dentist | 12450 East Fwy Ste 140, Houston, TX 77015 | 2014-04-15 |
| 1114344249 | Annabel Maldonado-carrizales | Occupational Therapist | 12605 East Freeway, Suite 212, Houston, TX 77015 | 2014-03-26 |
| 1720326036 | Stephanie Frances Parlangeli | Occupational Therapist | 12605 East Fwy, Houston, Suite 200, Houston, TX 77015 | 2013-01-21 |
| 1700173887 | Karen Alicia Henry | Counselor | 331 Freeport Street, Houston, TX 77015 | 2011-07-08 |
| 1619298031 | Clinic 1 Care, Inc. | General Practice | 14225 East Freeway, Houston, TX 77015 | 2010-06-21 |
| 1043536303 | Alternative Learning LLC | Residential Treatment Facility, Physical Disabilities | 13214 Myrna Lane, Houston, TX 77015 | 2010-04-12 |
| 1205015237 | Open Hearts Home Health Care | Home Health | 14115 Woodwolf Ct, Houston, TX 77015 | 2007-10-26 |
| Find all providers in zip 77015 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949152 | Angelica Rosas-torres | Specialist | 9810 Brick Village Dr, Houston, TX 77095-5072 | 2020-07-16 |
| 1689202004 | Bayou Surgical Assistants Inc | Specialist | 121 N Post Oak Ln Apt 2204, Houston, TX 77024-7717 | 2020-03-31 |
| 1588290761 | Jim Gigante | Specialist | 5607 Fountainbridge Ln, Houston, TX 77069-1917 | 2020-03-19 |
| 1043840044 | Valerie Pedraza | Specialist | 9802d Ella Blvd, Houston, TX 77038-3030 | 2020-01-19 |
| 1386200178 | Thaddieus A Reed | Specialist | 3605 Wilmington St, Houston, TX 77051-3248 | 2019-05-16 |
| 1437617545 | Wellness Institute of Neurodevelopment | Specialist | 5757 Woodway Dr Ste 190, Houston, TX 77057-1526 | 2019-03-07 |
| 1275098568 | Idoc Virtual Telehealth Texas | Specialist | 2311 W Main St, Houston, TX 77098-3218 | 2019-01-31 |
| 1326531708 | Houston Neurology Clinical & Diagnostic Consultants Company | Specialist | 1313 La Concha Ln Ste 130, Houston, TX 77054-1809 | 2018-06-11 |
| 1154840908 | Webster Diagnostics, Pllc | Specialist | 18333 Egret Bay Blvd Ste 200, Houston, TX 77058-3200 | 2017-09-13 |
| 1093242166 | Cns Medical Group | Specialist | 6238 Rietta St, Houston, TX 77016-4338 | 2017-05-18 |
| Find all providers in HOUSTON | ||||
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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.