MARTIN BROCKHAUS (NPI# 1346862612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346862612 |
| Entity Type | Individual |
| Full Name | MARTIN BROCKHAUS |
| Credential | RN |
| Practice Address |
990 Marlandwood Rd Temple TX 76502-3365 |
| Practice Telephone | 2547710852 |
| Practice Fax Number | 2547710861 |
| Mailing Telephone | 2547710852 |
| Mailing Fax Number | 2547710861 |
| Enumeration Date | 2020-05-10 |
| Last Update Date | 2020-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
973982 | TX | Nursing Service Providers |
| Street Address |
990 MARLANDWOOD RD |
| City | TEMPLE |
| State | TX |
| Zip Code | 76502-3365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528546132 | Evette Henderson | Registered Nurse | 990 Marlandwood Rd, Temple, TX 76502-3365 | 2018-08-06 |
| 1912528795 | Rebecca Keala-ka'a Hanrahan | Licensed Practical Nurse | 990 Marlandwood Rd, Temple, TX 76502-3365 | 2020-05-02 |
| 1801426044 | Tanee T Winfree | Registered Nurse | 990 Marlandwood Rd, Temple, TX 76502-3365 | 2020-01-15 |
| 1730741703 | Gary W Reimers | Licensed Practical Nurse | 990 Marlandwood Rd, Temple, TX 76502-3365 | 2019-07-01 |
| 1356908875 | Monica Collins | Licensed Vocational Nurse | 990 Marlandwood Rd, Temple, TX 76502-3365 | 2019-05-20 |
| 1841854320 | Kasondra Jordan | Registered Nurse | 990 Marlandwood Rd, Temple, TX 76502-3365 | 2019-04-30 |
| 1063978708 | Ashley Henderson | Clinical Nurse Specialist | 990 Marlandwood Rd, Temple, TX 76502-3365 | 2019-02-19 |
| 1477036796 | Tiffany R Jackson | Licensed Vocational Nurse | 990 Marlandwood Rd, Temple, TX 76502-3365 | 2018-09-12 |
| 1881176816 | Donna Ann Frey | Licensed Vocational Nurse | 990 Marlandwood Rd, Temple, TX 76502-3365 | 2018-09-06 |
| 1366924623 | Kourtney Smith | Registered Nurse | 990 Marlandwood Rd, Temple, TX 76502-3365 | 2018-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
| 1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
| 1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
| 1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
| 1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
| 1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
| Find all providers in zip 76502 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306318969 | Danielle J Gardner | Registered Nurse | 2206 S 55th St, Temple, TX 76504-6937 | 2018-12-20 |
| 1801378500 | Anthony Daniels | Registered Nurse | 512 Peanut Dr, Temple, TX 76502-5300 | 2018-08-30 |
| 1821579061 | Arlene Aldona Jennings | Registered Nurse | 5223 Indian Springs Rd, Temple, TX 76502-6519 | 2018-08-26 |
| 1003396763 | Brenda Kay Rose | Registered Nurse | 3912 Tem Bel Ln Unit B, Temple, TX 76502-5913 | 2018-08-21 |
| 1144701095 | Jennifer Diane Howell | Registered Nurse | 990 Marlandwood Rd, Temple, TX 76502-3365 | 2018-08-28 |
| 1255581898 | Jennifer Mcdaniel | Registered Nurse | 2401 S. 31st St, Temple, TX 76508 | 2008-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022380 | Bethany Lynn Cole | Registered Nurse | 501 Rowdy Dr, Royse City, TX 75189-8561 | 2020-10-27 |
| 1992304000 | Tiffany Barefoot | Registered Nurse | 1476 E Mccarty Ln Apt 5101, San Marcos, TX 78666-3793 | 2020-10-20 |
| 1104425461 | Cammi Ann Kassie Walls | Registered Nurse | 105 Mossridge, Universal City, TX 78148-3516 | 2020-10-19 |
| 1366049728 | Stacie Renee Wheeler | Registered Nurse | 2385 Crescent Dr, Paris, TX 75460-3246 | 2020-10-07 |
| 1952908667 | Cassandra Nicole Snell | Registered Nurse | 5258 Farm Road 1506, Brookston, TX 75421-4318 | 2020-10-06 |
| 1386250744 | Tamra Nicole Evans | Registered Nurse | 6505 Hillock Ln, Pearland, TX 77584-9295 | 2020-09-21 |
| 1477168615 | Proactive Pediatric Nursing Services, Pllc | Registered Nurse | 17711 Sauki Ln, Richmond, TX 77407-2847 | 2020-09-14 |
| 1427662618 | Jocelyn Zabala Hollar | Registered Nurse | 13930 Ashdale Ln, Houston, TX 77083-5990 | 2020-09-04 |
| 1457963522 | Tracy Ellen Huffman | Registered Nurse | 28018 Wind Hawk Dr, Katy, TX 77494-4272 | 2020-08-20 |
| 1790396612 | Leslie Yerani Sanchez Alanis | Registered Nurse | 165 Rabbit Trl, Cedar Creek, TX 78612 | 2020-08-13 |
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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.