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NPI Code Detail

MEDICARE: ANDREW HARRISON PERRY BROOKEMAN MD

MEDICARE: ANDREW HARRISON PERRY BROOKEMAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207PE0004XEmergency Medical Services (Emergency Medicine) PhysicianV7462TX
2207P00000XEmergency Medicine PhysicianV7462TX

General Provider Information

NPI Number : 1952043341
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW HARRISON PERRY BROOKEMAN MD
Provider Business Mailing Address
First Line : 15 WALLER ST
Second Line :
City : AUSTIN
State : TX
Zip : 78702-5240
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1500 RED RIVER ST
Second Line :
City : AUSTIN
State : TX
Zip : 78701-1918
Country : US
Telephone Number : 512-324-7010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2022
Last Update Date : 05/27/2026

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