Dr Carl Martin Brofman, DC, NP-C is a medicare enrolled "Nurse Practitioner - Family" provider in Houston, Texas. His current practice location is
1820 Harvard St, Houston, Texas. You can reach out to his office (for appointments etc.) via phone at
(409) 283-1950.
Dr Carl Martin Brofman is licensed to practice in Texas (license number 777173) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003831967.
Healthcare Provider's Profile
| Full Name | Dr Carl Martin Brofman |
|---|
| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1820 Harvard St, Houston, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1003831967
- Provider Enumeration Date: 07/13/2006
- Last Update Date: 09/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204000755
- Enrollment ID: I20111117000628
Medical Identifiers
Medical identifiers for Dr Carl Martin Brofman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003831967 | NPI | - | NPPES |
| 8A8401 | Other | TX | BC/BS PROVIDER ID |
| 147248201 | Medicaid | TX | |
| 0071653 | Other | TX | BLUELINK ID |
| 0034GH | Other | TX | BC/BS GROUP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 7111 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | 777173 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 777173 (Texas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Carl Martin Brofman allows following entities to bill medicare on his behalf.
| Provider Name | St Joseph Emergency Physicians Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1326324047
PECOS PAC ID: 2163698929
Enrollment ID: O20111228000136 |
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| Provider Name | Memorial Hermann Urgent Care Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1730821208
PECOS PAC ID: 4880071679
Enrollment ID: O20220517001605 |
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| Provider Name | Emergency Medicine Services Of Tx Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1245938729
PECOS PAC ID: 3375909351
Enrollment ID: O20230517001124 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Carl Martin Brofman is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Carl Martin Brofman, DC, NP-C
1820 Harvard St,
Houston, TX 77008-4342
Ph: (409) 283-1950 | Dr Carl Martin Brofman, DC, NP-C
1820 Harvard St,
Houston, TX 77008-4342
Ph: (409) 283-1950 |
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