STEWART T BROOKS (NPI# 1639174170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639174170 |
| Entity Type | Individual |
| Full Name | STEWART T BROOKS |
| Credential | PA |
| Practice Address |
8441 State Highway 47 Ste 4300 Bryan TX 77807-3235 |
| Practice Telephone | 9797768896 |
| Mailing Telephone | 9797768896 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2015-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA06723 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA10004055 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L&I NUMBER | 0211459 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477542173 | Stewart I Brooks | Pediatrics | 2950 Sycamore Dr, Suite 200, Simi Valley, CA 93065-1210 | 2005-10-17 |
| Street Address |
8441 STATE HIGHWAY 47 STE 4300 |
| City | BRYAN |
| State | TX |
| Zip Code | 77807-3235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497317960 | Victoria P Davis | Physician Assistant | 8441 State Highway 47 Ste 4300, Bryan, TX 77807-3235 | 2019-07-03 |
| 1770800757 | Uma Saligram | Psychiatry & Neurology | 8441 State Highway 47 Ste 4300, Bryan, TX 77807-3235 | 2010-04-29 |
| 1891809026 | Rudy Briner | Neurological Surgery | 8441 State Highway 47 Ste 4300, Bryan, TX 77807-3235 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558982298 | Kaylee Jackson | Psychologist | 8441 Hwy 47, St 1100, Bryan, TX 77807 | 2020-05-05 |
| 1457972192 | Melina Renee Cavazos | Psychologist | 8441 Highway 47, Clinical Building 1, Suite 1100, Bryan, TX 77807 | 2020-05-05 |
| 1891324448 | Radhika Shah | Student in an Organized Health Care Education/Training Program | 8447 Riverside Pkwy, Bryan, TX 77807 | 2020-04-06 |
| 1588648059 | Jerral Dewayne Taylor | Psychologist | 8441 Riverside Parkway, Clinical Building 1, Suite 1100, Bryan, TX 77807 | 2005-11-30 |
| 1457332959 | Robert Andrew Harper | Psychiatry & Neurology | 8441 Riverside Pkwy, Cb1, Suite 1400, Bryan, TX 77807 | 2005-11-10 |
| 1851918700 | Texas A&m University System Health Science Center | Nursing Care | 8441 Riverside Parkway, Ms 1359, Bryan, TX 77807 | 2020-06-26 |
| 1285255919 | Namrata Nanavaty | Psychologist | 8441 Riverside Parkway, Bryan, TX 77807 | 2020-05-05 |
| 1801422571 | Emily Kirsten Haque | Student in an Organized Health Care Education/Training Program | 8447 Riverside Parkway, 3081 Health Professions Education Building, Bryan, TX 77807 | 2020-03-13 |
| 1447885991 | Carly Elizabeth Mccord | Psychologist | 8441 Riverside Pkwy, Cb 1, Suite 1100, Bryan, TX 77807 | 2020-03-05 |
| 1639259088 | John M Hettema | Psychiatry & Neurology | 8441 Riverside Parkway, Cb1, Suite 1100, Bryan, TX 77807 | 2006-10-17 |
| Find all providers in zip 77807 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649611435 | Vanessa Scialom | Physician Assistant | 8441 State Highway 47, Bryan, TX 77807-3207 | 2013-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133340 | Mark Alan Williams | Physician Assistant | 4814 Lake Livingston Dr, Corpus Christi, TX 78413-5139 | 2020-10-28 |
| 1669081238 | Manuel V Leyva | Physician Assistant | 8407 Sunset Loch Dr, Spring, TX 77379-5121 | 2020-07-29 |
| 1194342212 | Sean Robert Jamieson | Physician Assistant | 2700 E Broad St Ste 200, Mansfield, TX 76063-5899 | 2020-07-06 |
| 1588284194 | Hill Country Surgical Management, Inc | Physician Assistant | 10454 Tippecanoe, San Antonio, TX 78245-3128 | 2020-04-23 |
| 1407475585 | Serenity Surgical Services | Physician Assistant | 3260 Springbok Cir, Frisco, TX 75034-3671 | 2020-04-09 |
| 1720610470 | Surgical Assistants of South Texas | Physician Assistant | 3414 Highway 146 S, La Porte, TX 77571-7400 | 2020-02-11 |
| 1710524103 | R & H Surgical Services, LLC | Physician Assistant | 14507 Parkesgate Dr, Houston, TX 77083-5792 | 2019-12-04 |
| 1639711195 | Landry & Kiejna Surgical Assisting | Physician Assistant | 1120 Business Center Dr Ste 110, Houston, TX 77043-2735 | 2019-10-16 |
| 1912558693 | Chandrant Akshar Pa | Physician Assistant | 400 W Arbrook Blvd Ste 230, Arlington, TX 76014-3174 | 2019-09-24 |
| 1700435831 | Christina A Vogel-rosbrook | Physician Assistant | 4330 Medical Drive, Suite 120, San Antonio, TX 78229-3353 | 2019-09-11 |
| 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.