BROOKE ARMY MEDICAL CENTER


Address: 10010 Rogers Run, Suite 100, San Antonio, TX 78251-4403
Phone: 2109164141

BROOKE ARMY MEDICAL CENTER (NPI# 1619365285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619365285
Entity Type Organization
Organization Name BROOKE ARMY MEDICAL CENTER
Other Organization Name CBMH WESTOVER-JB SAN ANTONIO
Practice Address 10010 Rogers Run
Suite 100
San Antonio
TX 78251-4403
Mailing Address 3551 Roger Brooke Dr
Mche-cou-t Dept 211
San Antonio
TX 78234-4513
Practice Telephone 2109164141
Mailing Telephone 2109168558
Enumeration Date 2015-01-05
Last Update Date 2019-02-08
Authorized Official Name CLENTON BALLARD (UBO MANAGER)
Authorized Official Telephone 2109168561
Is Organization Subpart Y
Parent Organization Name BROOKE ARMY MEDICAL CENTER

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
PARENT FACILITY NPI 2 1538251764 01

Other Provider/Organization Names

Other Name Type Code
CBMH WESTOVER-JB SAN ANTONIO Doing Business As Name - Organization

Other Provider IDs and Locations

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
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
1538268784 Brooke Army Medical Center Military/U.S. Coast Guard Pharmacy 3851 Brooke Drive, Ft Sam Houston, TX 78234-6200 2006-09-22

Office Location

Street Address 10010 ROGERS RUN
SUITE 100
City SAN ANTONIO
State TX
Zip Code 78251-4403

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457742785 Brooke Army Medical Center Military/U.S. Coast Guard Pharmacy 10010 Rogers Run, San Antonio, TX 78251-4403 2015-02-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255930558 Iyobosasere Ighoroje Nurse Practitioner 11212 Tx - 151, San Antonio, TX 78251 2020-10-19
1528679933 Michael Medina Registered Nurse 1224 Leonard Hunt, San Antonio, TX 78251 2020-08-11
1528676053 Calm Spring Dental Clinic/Center 11034 W Military Drive, Suite 104, San Antonio, TX 78251 2020-07-21
1659917169 Brianna Ashly Garcia Behavioral Analyst 3002 Culebra Rd, 105, San Antonio, TX 78251 2019-11-19
1245892751 Rodolfo Eloy Zapata Behavior Technician 9032 Dugas Rd Apt 118, San Antonio, TX 78251 2019-07-03
1174188718 Kesar Family Pllc Internal Medicine 3303 Rodgers Road, Suite 250, San Antonio, TX 78251 2019-05-09
1730657313 Culebra Meadows Dental Partners Pllc Dentist 7895 Culebra Rd., San Antonio, TX 78251 2018-11-13
1720563299 San Juanita Villanueva Specialist/Technologist 10618 Cat Mountain, San Antonio, TX 78251 2018-10-01
1316421506 Westover Hills Primary Care Family Medicine 9022 Culebra Rd, Ste 112, San Antonio, TX 78251 2018-09-24
1649750894 Alejandro Rodriguez Flores Physical Therapy Assistant 9922 Tx-151, San Antonio, TX 78251 2018-08-17
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Taxonomy Information

Taxonomy Code 261QM1100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Military/U.S. Coast Guard Outpatient

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548693526 Brooke Army Medical Center Clinic/Center 5410 Mac Williams Rd, Bldg 5026 Camp Bullis, San Antonio, TX 78257 2013-08-14
1821421595 Brooke Army Medical Center Clinic/Center 3051 Garden Ave, San Antonio, TX 78234-7537 2013-08-16
1710310578 Brooke Army Medical Center Clinic/Center 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 2013-08-15
1306041363 Brooke Army Medical Center Clinic/Center 3551 Roger Brooke Dr, San Antonio, TX 78234 2007-06-19
1912102955 Brooke Army Medical Center Clinic/Center 3051 Garden Ave, Suite 159 Bldg. 1279, San Antonio, TX 78234 2007-06-19

Providers in the same taxonomy and state

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
1629322144 William Beaumont Army Medical Center Clinic/Center Torch St Bldg 21227, Dental Clinic, Fort Bliss, TX 79916 2012-11-06
Find all providers with the same taxonomy

Competitor

Search similar providers

City SAN ANTONIO
Zip Code 78251

Improve Information

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Dataset Information

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.

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