BROOKRIDGE INTERNAL MEDICINE ASSOCIATES, PA – NPI #1396796553
Internal Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Health Care Provider Taxonomy Code for Internal Medicine

BROOKRIDGE INTERNAL MEDICINE ASSOCIATES, PA is a provider located in LONGVIEW, TX. NPPES has assigned the NPI number 1396796553 to BROOKRIDGE INTERNAL MEDICINE ASSOCIATES, PA on May 13, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 6 years ago on Jan 13, 2020. 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 BROOKRIDGE INTERNAL MEDICINE ASSOCIATES, PA below.

NPI Profile for
BROOKRIDGE INTERNAL MEDICINE ASSOCIATES, PA

NPI Number
1396796553
Enumeration Date

(more than 20 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
BROOKRIDGE INTERNAL MEDICINE ASSOCIATES, PA
Primary location
300 N 3RD ST STE A
LONGVIEW, TX 75601
Phone: (903) 315-2907 Fax: (903) 315-2927
Mailing address
300 N 3RD ST
LONGVIEW, TX 75601-6505
Phone: (903) 315-2907 Fax: (903) 315-2927
Organization Subpart
No
Authorized Official
BRENDA VOZZA
OWNER
Phone: (903) 315-2907
Updated
Certification Date
Jan 13, 2020

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 BROOKRIDGE INTERNAL MEDICINE ASSOCIATES, 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
MEDICAIDTX161382002
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
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)		 TX K6399

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.