BROOKE ARMY MEDICAL CENTER (NPI# 1922195510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922195510 |
| Entity Type | Organization |
| Organization Name | BROOKE ARMY MEDICAL CENTER |
| Other Organization Name | AMC BAMC-FSH |
| Practice Address |
3851 Roger Brooke Dr Jbsa Ft Sam Houston TX 78234-4501 |
| Mailing Address |
3551 Roger Brooke Dr Mche-cou-m Dept 211 Ft Sam Houston TX 78234-4501 |
| Practice Telephone | 2109164141 |
| Mailing Telephone | 2109168563 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | NORA ALPIZAR (CHIEF, UNIFORM BUSINESS OFFICE) |
| Authorized Official Telephone | 2109168563 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
Ambulatory Health Care Facilities | ||
| N | 261QM1101X |
Clinic/Center Specialization: Military and U.S. Coast Guard Ambulatory Procedure |
Ambulatory Health Care Facilities | ||
| N | 286500000X | Military Hospital | Hospitals | ||
| N | 2865M2000X |
Military Hospital Specialization: Military General Acute Care Hospital |
Hospitals | ||
| Y | 286500000X | Military Hospital | TX | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BC BS PROVIDER NUMBER | 36JK | 01 |
| TX | 021756401 | 05 | |
| NCPDP | 4503884 | 01 | |
| TX | BC BS PROVIDER NUMBER | HH6037 | 01 |
| MEDCO | AN2598588 | 01 |
| Other Name | Type Code |
|---|---|
| AMC BAMC-FSH | Other Name - Individual/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 |
3851 ROGER BROOKE DR |
| City | JBSA FT SAM HOUSTON |
| State | TX |
| Zip Code | 78234-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245897271 | William Rizzuto | Student in an Organized Health Care Education/Training Program | 3851 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4501 | 2019-05-24 |
| 1730648106 | Sonia Iqbal | Student in an Organized Health Care Education/Training Program | 3851 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4501 | 2019-03-15 |
| 1558735084 | Brandon Carius | Physician Assistant | 3851 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4501 | 2015-11-20 |
| 1659751436 | Lacondria Simmons | Psychologist | 3851 Roger Brooke Dr, Mche-qd (creds), Jbsa Ft Sam Houston, TX 78234-4501 | 2015-06-05 |
| 1245468776 | Luis X. Velez-colon | Internal Medicine | 3851 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4501 | 2009-06-23 |
| 1891937140 | Erwin Terrance Shaw | Pathology | 3851 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 | 2009-04-01 |
| 1598989295 | Dale Clifton Capener | Anesthesiology | 3851 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4501 | 2007-04-12 |
| 1336125699 | Amy Jane Castillo | Contractor | 3851 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4501 | 2005-12-19 |
| 1750362745 | Mary Margaret Pelszynski | Pediatrics | 3851 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4501 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
| 1215564729 | Travis Frantz | Student in an Organized Health Care Education/Training Program | 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-25 |
| 1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
| 1235793407 | Jessica Maria May Franklin | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 | 2019-04-23 |
| 1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
| 1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
| 1053805515 | Rene Espinosa | Social Worker | San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 | 2018-06-19 |
| 1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
| 1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
| Find all providers in zip 78234 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306258397 | Saushec | Military Hospital | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | 2014-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851773535 | Wbamc Dept of Medicine/im Training Program | Military Hospital | 5005 N. Piedras Street, Attn: Dom/im Program Wbamc, El Paso, TX 79920-5001 | 2015-06-18 |
| 1831578087 | Alma Denise Harman | Military Hospital | 13275 Emerald Creek Dr, Horizon City, TX 79928-6556 | 2015-05-20 |
| 1104216332 | Va Medical Center | Military Hospital | 10707 W Interstate 10 Apt 436, San Antonio, TX 78230-1674 | 2015-01-26 |
| 1366858938 | Baxter Healthcare Corporation | Military Hospital | 1618 Shady Holw, New Braunfels, TX 78132-2354 | 2014-07-03 |
| 1215353784 | Elizabeth Arnold | Military Hospital | 4539 Bissonnet St, Apt. 1, Bellaire, TX 77401-3127 | 2014-03-08 |
| 1770859878 | Oleg Balter | Military Hospital | 6231 Colony Crk, San Antonio, TX 78240-5320 | 2012-03-22 |
| 1255617676 | Department of Veterans Affairs | Military Hospital | 3022 Heritage Creek Oaks, Houston, TX 77008-6156 | 2011-10-31 |
| 1528357878 | Baylor College of Medicine | Military Hospital | 1709 Dryden Rd Ste 1100, Houston, TX 77030-2414 | 2011-04-06 |
| 1578898029 | Baylor College of Medicine | Military Hospital | 3103 Fairhope St, Houston, TX 77025-3228 | 2009-10-15 |
| 1548498058 | Yaoyao Zhu | Military Hospital | 1320 Austin Hwy, San Antonio, TX 78209 | 2009-06-24 |
| Find all providers with the same taxonomy | ||||
| City | JBSA FT SAM HOUSTON |
| Zip Code | 78234 |
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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.