| Brookridge Internal Medicine Associates, Pa | |
|
300 N 3rd St Ste A Longview TX 75601 | |
| (903) 315-2907 | |
| (903) 315-2927 |
| Full Name | Brookridge Internal Medicine Associates, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 N 3rd St Ste A, Longview, Texas |
| Authorized Official Name and Position | Brenda M Vozza (OWNER) |
| Authorized Official Contact | 9033152907 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookridge Internal Medicine Associates, Pa 300 N 3rd St Longview TX 75601-6505 Ph: (903) 315-2907 | Brookridge Internal Medicine Associates, Pa 300 N 3rd St Ste A Longview TX 75601 Ph: (903) 315-2907 |
| NPI Number | 1396796553 |
|---|---|
| Provider Enumeration Date | 05/13/2006 |
| Last Update Date | 01/13/2020 |
| Medicare PECOS PAC ID | 6709844517 |
|---|---|
| Medicare Enrollment ID | O20041228000008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396796553 | NPI | - | NPPES |
| 161382002 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | K6399 (Texas) | Primary |
| Provider Name | Marla K English-pickett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013163013 PECOS PAC ID: 0345308185 Enrollment ID: I20081022000465 |
| Provider Name | Brenda Marie Vozza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588616676 PECOS PAC ID: 3476561622 Enrollment ID: I20100716000721 |
| Provider Name | Amy Hensley Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356727077 PECOS PAC ID: 8123319464 Enrollment ID: I20160616002317 |
| Provider Name | Nancy Mosby Yarnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093288110 PECOS PAC ID: 8426397076 Enrollment ID: I20190227000168 |
| Provider Name | Brandi Anne Joyner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821769381 PECOS PAC ID: 1153729496 Enrollment ID: I20211018001131 |
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Gail D Stockman Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 N 4th St, Suite A, Longview, TX 75601 Phone: 406-253-3430 |