| Brookwood Family Practice | |
|
865 Junction Drive Allen TX 75013-5006 | |
| (214) 547-8300 | |
| (214) 547-9787 |
| Full Name | Brookwood Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 865 Junction Drive, Allen, Texas |
| Authorized Official Name and Position | Adam R Smith (PRESIDENT) |
| Authorized Official Contact | 2145478300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookwood Family Practice 865 Junction Drive Allen TX 75013-5003 Ph: (214) 547-8300 | Brookwood Family Practice 865 Junction Drive Allen TX 75013-5006 Ph: (214) 547-8300 |
| NPI Number | 1568647451 |
|---|---|
| Provider Enumeration Date | 01/09/2008 |
| Last Update Date | 03/03/2011 |
| Medicare PECOS PAC ID | 8123047073 |
|---|---|
| Medicare Enrollment ID | O20051121000392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568647451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M2478 (Texas) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Adam R Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306899521 PECOS PAC ID: 4486673340 Enrollment ID: I20051121000676 |
| Provider Name | Nicole L Brodeur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649456047 PECOS PAC ID: 6305917782 Enrollment ID: I20080612000034 |
| Provider Name | Jaylene J. Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780121525 PECOS PAC ID: 2365714607 Enrollment ID: I20170821002391 |
| Provider Name | Rachael Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386260537 PECOS PAC ID: 2062837180 Enrollment ID: I20200806002779 |
| Provider Name | Jennifer Johnson Kitkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417598905 PECOS PAC ID: 9234561259 Enrollment ID: I20211021002188 |
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