MCBROOM CLINIC PA – NPI #1114088093
Family Medicine

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.

Health Care Provider Taxonomy Code for Family Medicine

MCBROOM CLINIC PA is a provider located in LA GRANGE, TX. NPPES has assigned the NPI number 1114088093 to MCBROOM CLINIC PA on December 13, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Apr 06, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MCBROOM CLINIC PA below.

NPI Profile for
MCBROOM CLINIC PA

NPI Number
1114088093
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MCBROOM CLINIC PA
Primary location
2 SAINT MARKS PL STE 110
LA GRANGE, TX 78945-1255
Phone: (979) 968-8493 Fax: (979) 968-6388
2 Other location(s):
598 Cactus St
Giddings, TX 78942-1437
Phone: (979) 542-7400
1253 N Von Minden St
LA Grange, TX 78945-1262
Phone: (979) 968-8493
Fax: (979) 968-6388
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALYSON BEISERT
OFFICE MANAGER
Phone: (979) 968-8493
Updated
Certification Date
Apr 06, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MCBROOM CLINIC PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidTX1114088093
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.