DR. BRENT ERIC ANDERSON (NPI# 1952606253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952606253 |
| Entity Type | Individual |
| Full Name | DR. BRENT ERIC ANDERSON |
| Credential | PSY.D |
| Practice Address |
3551 Roger Brooke Dr Fort Sam Houston TX 78234-4504 |
| Practice Telephone | 2109194342 |
| Mailing Telephone | 2109194342 |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2020-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1626 | AL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1061 Harmon Ave, Fort Stewart, GA 313145641 | 9124356633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245760552 | Brent Joseph Anderson | Home Health Aide | 2919 Ashland Ave, Cincinnati, OH 45206-1366 | 2017-06-19 |
| 1679681191 | Brent D Anderson | Physical Therapist | 1500 Monza Suite 350, Coral Gables, FL 33146-3005 | 2006-08-25 |
| 1518471382 | Brent Anderson | Psychologist | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2017-11-30 |
| 1811396286 | Brent Anderson | Pharmacist | 2150 Roosevelt Ave, Redwood City, CA 94061-1304 | 2014-08-21 |
| 1144420472 | Brent Cameron Anderson | Orthopaedic Surgery | 50 N Perry St, Pontiac, MI 48342-2217 | 2007-07-24 |
| 1891820189 | Brent Anderson | Counselor | 5638 Medical Center Dr, Katy, TX 77494-6325 | 2007-02-23 |
| 1255488052 | Brent Anderson | Internal Medicine | 3601 Tvc, Nashville, TN 37232-0001 | 2007-01-04 |
| 1588670590 | Brent R Anderson | Psychiatry & Neurology | 15000 Broschart Rd, Rica, Rockville, MD 20850-3392 | 2006-07-31 |
| Street Address |
3551 ROGER BROOKE DR |
| City | FORT SAM HOUSTON |
| State | TX |
| Zip Code | 78234-4504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093338 | Aneesh N/a Benoy | Nurse Practitioner | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-11-02 |
| 1164021580 | William Edward Vick | Pharmacist | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-10-19 |
| 1548868003 | Julia D Coffey | Pharmacist | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-10-15 |
| 1801493465 | Emiri Elliott | Registered Nurse | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-10-07 |
| 1437756574 | Clarence Michael Sullivan | Military Health Care Provider | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-10-01 |
| 1093320350 | Natalie Marie Greene | Physical Therapist | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-09-14 |
| 1033722509 | Kody Vallejo | Pharmacist | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-08-25 |
| 1558972620 | Renee Therese Hart | Nurse Practitioner | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-08-12 |
| 1235749722 | Emily Ann Robinson | Nurse Practitioner | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-08-09 |
| 1902415367 | Hannah Daniel | Pharmacist | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-07-30 |
| Find all providers in the same location | ||||
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962871475 | Anna Smitherman | Psychologist | Bamc-3851 Roger Brook Drive, Mche-qd (creds), Fort Sam Houston, TX 78234-6200 | 2015-09-15 |
| 1225374309 | Eric David Heneka | Psychologist | 3851 Roger Brooke Dr # Drive-qd, Fort Sam Houston, TX 78234-4501 | 2012-12-18 |
| 1801101951 | Michael Anthony Gallo | Psychologist | 3851 Roger Brooke Dr Brooke Amry Medical Center, Mche-qd (creds), Fort Sam Houston, TX 78234-6200 | 2010-08-13 |
| 1982858866 | Jonhenry Grizzle | Psychologist | 3851 Roger Brooke Drive Mche-qd (creds), Brooke Army Medical Center, Fort Sam Houston, TX 78234-6200 | 2008-11-05 |
| 1508841727 | Alan John Maiers | Psychologist | 3851 Rog, Brooke Army Medical Center Mche-qd/ Credentials, Fort Sam Houston, TX 78234-6200 | 2005-12-09 |
| 1821079831 | Nancy Barber | Psychologist | Brooke Army Medical Center, 3851 Roger Brooke Dr., Mche-qd/credentials, Fort Sam Houston, TX 78234-6200 | 2005-11-07 |
| 1083148696 | Christopher Joseph Lawless | Psychologist | 3551 Roger Brooke Dr, Department of Behavioral Medicine-mche-dbm, Fort Sam Houston, TX 78234-4504 | 2017-04-20 |
| 1184178568 | Natasha G Benatti | Psychologist | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2016-08-15 |
| 1356709612 | Yaniris Birzel Garcia - Soto | Psychologist | 3551 Roger Brooke Dr, Jbsa, Fort Sam Houston, TX 78234-4504 | 2016-02-02 |
| 1972974350 | Alisha Rose Bowen | Psychologist | 3551 Roger Brooke Drive, San Antonio Military Medical Center Dept Behav Med, Fort Sam Houston, TX 78234-4504 | 2015-10-12 |
| Find all providers in FORT SAM HOUSTON | ||||
| City | FORT SAM HOUSTON |
| Zip Code | 78234 |
Please comment or provide details below to improve the information on DR. BRENT ERIC ANDERSON.
| 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.