AMANDA HALEY FORTIN MD
NPI 1063216570
Military Health Care Provider in San Antonio, TX

Active since April 03, 2025
BROOKE ARMY MEDICAL CENTER, MCHE-MDX, 3551 ROGER BROOKE DRI., JBSA-FORT SAM HOUSTON, SAN ANTONIO, TX 78234(210) 916-5000 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Amanda Haley Fortin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA HALEY FORTIN MD (NPI 1063216570) is an individual military health care provider provider in San Antonio, Texas and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1063216570
Entity TypeIndividualFemale
Primary Taxonomy171000000X
Provider Legal NameAMANDA HALEY FORTINCredential: MD
Location AddressBROOKE ARMY MEDICAL CENTER, MCHE-MDX, 3551 ROGER BROOKE DRI., JBSA-FORT SAM HOUSTONSan Antonio, TX 78234-4504
Mailing AddressBrooke Army Medical Center, Mche-mdx, 3551 Roger Brooke Dri., Jbsa-fort Sam HoustonSan Antonio, TX 78234-4504 · (210) 916-5000
Sole ProprietorNo
Enumeration DateApril 3, 2025
NPPES CertifiedMarch 29, 2025
NPI 1063216570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

BROOKE ARMY MEDICAL CENTER, MCHE-MDX, San Antonio, TX 78234

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
BROOKE ARMY MEDICAL CENTER, MCHE-MDX, INTERNAL MEDICINE RESIDENCY, 3551 ROGER BROOKE DR.
JBSA-FORT SAM HOUSTON, TX 78234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Fortin's NPI number?

The NPI number for Amanda Fortin is 1063216570. It was assigned to this individual provider in the NPPES registry on April 3, 2025.

Where is Amanda Fortin located?

Amanda Fortin practices at Brooke Army Medical Center, Mche-Mdx 3551 Roger Brooke Dri., Jbsa-Fort Sam Houston, San Antonio, TX 78234. The listed phone number is (210) 916-5000.

What is Amanda Fortin's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Amanda Fortin was last updated on April 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.