Provider Type Icon

BROOKE ARMY MEDICAL CENTER NPI 1912102955


NPI Information

NPI: 1912102955
Provider Name: BROOKE ARMY MEDICAL CENTER

Doing Business As: USADC BUDGE-SAMMC

Classification: Clinic/Center - 261QM1100X
Entity Type: Organization

Specialization: Military/U.S. Coast Guard Outpatient

Address:
3051 GARDEN AVE
SUITE 159 BLDG. 1279
SAN ANTONIO, TX
ZIP 78234
Phone: (210) 295-4336
Get Directions

BROOKE ARMY MEDICAL CENTER is a military/u.s. coast guard outpatient clinic center in San Antonio, TX. The provider is the Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. BROOKE ARMY MEDICAL CENTER NPI is 1912102955. The provider is registered as an organization entity type.
The provider Is Doing Business As Usadc Budge-sammc.

The provider's business location address is:

3051 GARDEN AVE
SUITE 159 BLDG. 1279
SAN ANTONIO, TX
ZIP 78234
Phone: (210) 295-4336

The provider's authorized official is Clenton Ballard .
The authorized official title is C, Ubo and has the following contact phone number (210) 916-8561.

The enumeration date for this NPI number is 6/19/2007 and was last updated on 2/8/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1100XClinic/CenterMilitary/U.S. Coast Guard OutpatientYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.