MRS. BROOKE LEANN JORDAN


Address: 1500 S Main St, Fort Worth, TX 76104-4917
Phone: 8177023431

MRS. BROOKE LEANN JORDAN (NPI# 1639513294) 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) 1639513294
Entity Type Individual
Full Name MRS. BROOKE LEANN JORDAN
Credential D.O.
Practice Address 1500 S Main St
Fort Worth
TX 76104-4917
Mailing Address 2901 Bledsoe St
Apt 2493
Fort Worth
TX 76107-1810
Practice Telephone 8177023431
Mailing Telephone 8172914505
Enumeration Date 2013-04-24
Last Update Date 2016-07-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Q8521 TX Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program 573164 TX Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
TX MEDICAL LICENSE Q8521 01

Other Providers BROOKE JORDAN

NPI Name Taxonomy Address Enumeration
1952730921 Brooke Amelia Jordan In Home Supportive Care 107 Greenwood Ave, Rocky Mount, NC 27804-3739 2013-11-10
1942645353 Brooke Taylor Jordan Behavioral Analyst 11450 N Meridian St Ste 100, Carmel, IN 46032-4688 2013-04-30
1114142205 Brooke Jordan Nurse Practitioner 5901 N Lidgerwood St Ste 220, Spokane, WA 99208-1122 2007-04-16
1790267235 Brooke Totty Jordan Dentist 1206 Highway 78 E, Jasper, AL 35501-3939 2018-08-31
1689917510 Brooke J Jordan Licensed Psychiatric Technician 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 2013-03-28
1487843926 Brooke A Jordan Registered Nurse Usag Ansbach Health Clinic, Unit 28614, Apo, AE 09177 2007-10-22

Office Location

Street Address 1500 S MAIN ST
City FORT WORTH
State TX
Zip Code 76104-4917

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518964634 Akber M Ashraf Internal Medicine 1500 S Main St, Fort Worth, TX 76104-4917 2005-07-05
1518567395 Jordan Loeffelholz Pediatrics 1500 S Main St, Fort Worth, TX 76104-4917 2020-10-29
1891305827 Sandra Bialose Nurse Practitioner 1500 S Main St, Fort Worth, TX 76104-4917 2020-08-04
1467060889 Melissa Godfrey Wood Nurse Practitioner 1500 S Main St, Fort Worth, TX 76104-4917 2020-07-22
1053929901 Brenton C Hall Pharmacist 1500 S Main St, Fort Worth, TX 76104-4941 2020-07-16
1952919144 Chinyere Lilian Nkwocha Pharmacist 1500 S Main St, Fort Worth, TX 76104-4917 2020-07-14
1033727227 Haley Leverett Pharmacist 1500 S Main St, Fort Worth, TX 76104-4917 2020-07-14
1447875760 Lauren Courtney Thompson Nurse Practitioner 1500 S Main St, Fort Worth, TX 76104-4917 2020-06-12
1356965883 Arjun Kulandaivelu Student in an Organized Health Care Education/Training Program 1500 S Main St, Fort Worth, TX 76104-4917 2020-06-01
1831710482 Oliver Taylor Family Medicine 1500 S Main St, Fort Worth, TX 76104-4941 2020-05-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669082186 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1115 8th St, Fort Worth, TX 76104 2020-08-10
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1104480656 Swarnalaxmi Umapathy Student in an Organized Health Care Education/Training Program 900 8th Avenue, Fort Worth, TX 76104 2019-04-30
1881189132 Mega Surgical Assistants LLC Specialist/Technologist, Other 1301pennsylvania, Fort Worth, TX 76104 2018-06-28
1356848899 Tricia Kelly Nurse Practitioner 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 2018-04-11
1952820979 Modern Vein Clinic Internal Medicine 757 8th Avenue, Suite A, Forth Worth, TX 76104 2017-09-11
1790207165 Vanessa Abbood Dietitian, Registered 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 2017-07-07
1922537562 Nicole Marie Tod Student in an Organized Health Care Education/Training Program 1500 S Main Street, Fort Worth, TX 76104 2017-06-07
1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770184020 Kara Fenceroy Family Medicine 5425 Rolling Meadows Dr, Fort Worth, TX 76123-2836 2020-11-03
1003416207 Adeline Galvez Family Medicine 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104-2820 2020-10-27
1952870354 Nancy Carolina Nicoloso Family Medicine 6302 Lake Worth Blvd Ste A3963, Fort Worth, TX 76135-3607 2018-11-15
1245717586 Julia Dubose Family Medicine 4100 Heritage Trace Pkwy Ste 116, Fort Worth, TX 76244 2018-07-19
1609307115 Yara Hamade Gonzales Family Medicine 4701 Bryant Irvin Rd, Fort Worth, TX 76132-3603 2017-03-26
1558732321 Andres Morgado Perez Family Medicine 1325 Pennsylvania Ave Ste 750, Fort Worth, TX 76104-2168 2015-10-19
1114304805 Davis Wellness Ltd LLP Family Medicine 3750 S. University Dr., Suite 201, Fort Worth, TX 76109-3701 2015-05-01
1902298417 Jack Lynwood Judson, Md Family Medicine 1800 Malibar Rd, Fort Worth, TX 76116-1834 2015-02-21
1104243468 Henry Dollahite Family Medicine 6205 Locke Ave, Fort Worth, TX 76116-4636 2014-03-25
1447676689 Janet Shackelford Family Medicine 5001 Golden Triangle Blvd, # 1024, Fort Worth, TX 76244 2014-03-12
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Competitor

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City FORT WORTH
Zip Code 76104

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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