Provider Demographics
NPI:1093335226
Name:BROOKS, BRIDGET D (NP-C)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:D
Last Name:BROOKS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9621 MOUNTAIN LAUREL TRL
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:TX
Mailing Address - Zip Code:76036-8552
Mailing Address - Country:US
Mailing Address - Phone:682-228-9645
Mailing Address - Fax:
Practice Address - Street 1:9621 MOUNTAIN LAUREL TRL
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:TX
Practice Address - Zip Code:76036-8552
Practice Address - Country:US
Practice Address - Phone:682-228-9645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-17
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1142614363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily