BROOKE ARMY MEDICAL CENTER (NPI# 1265745293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265745293 |
| Entity Type | Organization |
| Organization Name | BROOKE ARMY MEDICAL CENTER |
| Other Organization Name | CBMH SCHERTZ-JB SAN ANTONIO |
| Practice Address |
6051 Fm 3009 Schertz Medical Home Horizon Center Schertz TX 78154-3433 |
| Mailing Address |
3551 Roger Brooke Dr Mche-cou-t Dept 201 San Antonio TX 78234-4513 |
| Practice Telephone | 2108084914 |
| Mailing Telephone | 2109168558 |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2019-02-08 |
| Authorized Official Name | CLENTON BALLARD (C, UBO) |
| Authorized Official Telephone | 2109168561 |
| Is Organization Subpart | Y |
| Parent Organization Name | BROOKE ARMY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PARENT BILLING NPI | 1538251764 | 01 |
| Other Name | Type Code |
|---|---|
| CBMH SCHERTZ-JB SAN ANTONIO | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710532510 | Brooke Army Medical Center | Military/U.S. Coast Guard Pharmacy | 7800 W Ih 10 Ste 235, San Antonio, TX 78230-4768 | 2019-08-08 |
| 1396119681 | Brooke Army Medical Center | Clinic/Center | 2407 N New Braunfels, Bldg 147, Ft Sam Houston, TX 78234 | 2015-11-24 |
| 1619365285 | Brooke Army Medical Center | Clinic/Center | 10010 Rogers Run, Suite 100, San Antonio, TX 78251-4403 | 2015-01-05 |
| 1831502590 | Brooke Army Medical Center | Military/U.S. Coast Guard Pharmacy | 2401 Scott Rd, Brooke Army Medical Center, Fort Sam Houston, TX 78234 | 2014-06-10 |
| 1548693526 | Brooke Army Medical Center | Clinic/Center | 5410 Mac Williams Rd, Bldg 5026 Camp Bullis, San Antonio, TX 78257 | 2013-08-14 |
| 1053618546 | Brooke Army Medical Center | Military/U.S. Coast Guard Pharmacy | 6501 Fm 3009, Suite 210, Schertz, TX 78154 | 2011-02-17 |
| 1902117187 | Brooke Army Medical Center | Military/U.S. Coast Guard Pharmacy | 1300 Schofield Rd, Bldg 1179, San Antonio, TX 78234 | 2010-06-23 |
| 1164627121 | Brooke Army Medical Center | Clinic/Center | 1960 Stanley Rd, Blvd 2375, Fort Sam Houston, TX 78234-7650 | 2007-06-19 |
| 1073612131 | Brooke Army Medical Center | Military/U.S. Coast Guard Pharmacy | Bldg 1279, Garden Road, Ft Sam Houston, TX 78234 | 2006-09-22 |
| 1982703047 | Brooke Army Medical Center | Military/U.S. Coast Guard Pharmacy | Bldg 2401, Scott Road, Ft Sam Houston, TX 78234 | 2006-09-22 |
| Street Address |
6051 FM 3009 SCHERTZ MEDICAL HOME HORIZON CENTER |
| City | SCHERTZ |
| State | TX |
| Zip Code | 78154-3433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104839810 | Adriana Hwa Cheever | Family Medicine | 6051 Fm 3009, Ste 210, Schertz, TX 78154-3433 | 2006-08-14 |
| 1245838994 | Syed Raza | Behavior Technician | 6051 Fm 3009, Schertz, TX 78154-3433 | 2020-10-14 |
| 1780996678 | Mcgarrell Orthodontics | Clinic/Center | 6051 Fm 3009, 248, Schertz, TX 78154-3433 | 2010-07-08 |
| 1750606166 | Brandon Steven Mcgarrell | Dentist | 6051 Fm 3009, #248, Schertz, TX 78154-3433 | 2010-03-30 |
| 1295817146 | William Curtis Byers | Physical Therapist | 6051 Fm 3009, Schertz Medial Home (dod - Jbsa), Schertz, TX 78154-3433 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083229256 | Deann Fierro | Counselor | 3728 Hull Sreet, Schertz, TX 78154 | 2020-09-14 |
| 1467097949 | Fresenius Medical Care San Antonio, LLC | Clinic/Center | 1787 Fm 3009, Schertz, TX 78154 | 2019-11-08 |
| 1881237113 | Erica Lizet Scherzinger | Nurse Practitioner | 1205 N Sh 1604 Loop W Frontage Rd, San Antonio, TX 78154 | 2019-10-18 |
| 1831740752 | La'wanda Myers | Social Worker | 19315 Farm To Market Road 2252, Garden Ridge, TX 78154 | 2019-09-23 |
| 1467006619 | Vanessa Biesenbach | Behavior Technician | 133 Windy Meadows, Suite 101, Schertz, TX 78154 | 2019-07-26 |
| 1043874308 | Jessica Gail Rourke | Occupational Therapist | 5700 Schertz Parkway Ste 100, Schertz, TX 78154 | 2019-04-23 |
| 1750871729 | Jenna Kamaile Nurial Dacalio | Behavioral Analyst | 15620 York Lane, Selma, TX 78154 | 2018-05-15 |
| 1235630070 | Ginger Odom | Speech-Language Pathologist | 1600 Shady Brook, Schertz, TX 78154 | 2018-02-27 |
| 1295235588 | Timothy Marcus Egbuka | Pharmacist | 17115 Interstate 35 N Ste 123, Schertz, TX 78154 | 2018-02-14 |
| 1013423110 | Polite Transit LLC | Non-emergency Medical Transport (VAN) | 16222 Horse Brg, Selma, TX 78154 | 2017-12-27 |
| Find all providers in zip 78154 | ||||
| Taxonomy Code | 261QM1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military/U.S. Coast Guard Outpatient |
| The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326527177 | William Beaumont Army Medical Center | Clinic/Center | 11291 Sgt E Churchill St, Fort Bliss, TX 79918-8001 | 2018-08-13 |
| 1124505359 | Carl R Darnall Army Medical Center | Clinic/Center | 5200 Bunny Trail, Killeen, TX 76549 | 2018-07-20 |
| 1568948933 | Carl R Darnall Army Medical Center | Clinic/Center | 415 31st and 761st Tank Battalion, Fort Hood, TX 76544 | 2018-07-18 |
| 1740766112 | Carl R Darnall Army Medical Center | Clinic/Center | Bldg 2255 52nd and 761st Tank Battalion, Fort Hood, TX 76544 | 2018-07-18 |
| 1396119681 | Brooke Army Medical Center | Clinic/Center | 2407 N New Braunfels, Bldg 147, Ft Sam Houston, TX 78234 | 2015-11-24 |
| 1932595204 | Carl R Darnall Army Medical Center | Clinic/Center | 9410 19th St, Fort Hood, TX 76544 | 2015-04-13 |
| 1154717650 | Carl R Darnall Army Medical Center | Clinic/Center | 31002 74th Street, Fort Hood, TX 76544 | 2015-04-10 |
| 1073909578 | Carl R Darnall Army Medical Center | Clinic/Center | 37016 77th Street, Fort Hood, TX 76544 | 2015-04-10 |
| 1972999472 | Carl R Darnall Army Medical Center | Clinic/Center | 24001 Battalion Ave, 58th and 62nd Streets, Fort Hood, TX 76544 | 2015-04-10 |
| 1619365285 | Brooke Army Medical Center | Clinic/Center | 10010 Rogers Run, Suite 100, San Antonio, TX 78251-4403 | 2015-01-05 |
| Find all providers with the same taxonomy | ||||
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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.