Brooke S Martin (NPI# 1891046801, PAC ID# 2668622630) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1891046801 |
| PAC ID by PECOS | 2668622630 |
| Professional Enrollment ID | I20121029000305 |
| Full Name | Brooke S Martin |
| Organization Legal Name | MT ENTERPRISE COMMUNITY HEALTH CLINIC |
| Address |
1115 Hwy 259 S Henderon TX 75654-3629 |
| Phone Number | 9033928203 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2860303922 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450475 | ETMC HENDERSON |
| Address | Phone | Organization |
|---|---|---|
| 1115 Hwy 259 S, Henderon, TX 75654-3629 | 9033928203 | MT ENTERPRISE COMMUNITY HEALTH CLINIC |
| Organization Legal Name | MT ENTERPRISE COMMUNITY HEALTH CLINIC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin T Watson | Nurse Practitioner | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Raymond F Jordan | Family Medicine | Mt Enterprise Community Health Clinic | 4002 S Loop, 256 Suite K, Palestine, TX 75801-8402 |
| Lacee G Pierce | Nurse Practitioner | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Patricia Ann Watts | Physician Assistant | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Adam Rance Corley | Emergency Medicine | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Judith Sutherland | Clinical Social Worker | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Brenda S Fountain | Nurse Practitioner | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Amberly H Hopson | Nurse Practitioner | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Cherryl Lynn Rowell | Nurse Practitioner | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Street Address |
1115 HWY 259 S |
| City | HENDERON |
| State | TX |
| Zip | 75654-3629 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin T Watson | Nurse Practitioner | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Lacee G Pierce | Nurse Practitioner | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Patricia Ann Watts | Physician Assistant | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Adam Rance Corley | Emergency Medicine | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Judith Sutherland | Clinical Social Worker | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Brenda S Fountain | Nurse Practitioner | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Amberly H Hopson | Nurse Practitioner | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Cherryl Lynn Rowell | Nurse Practitioner | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David L Mcdonald | Optometry | 1787 Hwy 79 S, Henderson, TX 75654 | |
| Jerry L King | Optometry | 2121 Hwy 79 S, Henderson, TX 75654 | |
| Barbara A Mcdonald | Optometry | Henderson Eye Association, Inc | 1787 Hwy 79 S, Henderson, TX 75654 |
| Harold B Howard | Chiropractic | 1310 Jacksonville Dr, Henderson, TX 75654-4000 | |
| Todd M Nickel | Ophthalmology | Charles L. Heaton, M.d. P.a. | 1600 Us Hwy 79 S, Henderson, TX 75654-4508 |
| City | HENDERON |
| Zip Code | 75654 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HENDERON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Brooke S Martin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.