BROOKE HANNAH ANDERSON
NPI 1093283830
Student in an Organized Health Care Education/Training Program in Odessa, TX

Active since November 09, 2018PECOS Enrolled
701 W 5TH ST, ODESSA, TX 79763(432) 703-5083 Get Directions Write a Review

NPPES record last updated: April 1, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 1, 2023, Nov 9, 2018 (2 updates tracked since 2018).

About Brooke Hannah Anderson NPPES

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

BROOKE HANNAH ANDERSON (NPI 1093283830) is an individual student in an organized health care education/training program in Odessa, Texas and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093283830
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBROOKE HANNAH ANDERSON
Location Address701 W 5TH STOdessa, TX 79763-4206
Mailing Address701 W 5th StOdessa, TX 79763-4206 · (432) 703-5083
Sole ProprietorNo
Enumeration DateNovember 9, 2018
Last NPPES UpdateApril 1, 20232 updates tracked since enumeration
NPPES CertifiedApril 1, 2023
NPI 1093283830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
701 W 5TH ST, Odessa, TX 79763

Other Identifiers 2

Medicaid106402907WY
Medicaid106402908WY

Medicare Participation & PECOS Enrollment Status

Brooke Anderson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for BROOKE HANNAH ANDERSON

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
701 W 5TH ST
ODESSA, TX 79763
Obstetrics & Gynecology (Maternal & Fetal Medicine)
701 W 5TH ST
ODESSA, TX 79763
Obstetrics & Gynecology
701 W 5TH ST
ODESSA, TX 79763
Internal Medicine
701 W 5TH ST, ATTN CREDENTIALING
ODESSA, TX 79763
Obstetrics & Gynecology
701 W 5TH ST, TEXAS TECH UNIVERSITY HEALTH SCI CTR/PERMIAN BASIN
ODESSA, TX 79763
Pediatrics (Neonatal-Perinatal Medicine)
701 W 5TH ST
ODESSA, TX 79763
Obstetrics & Gynecology
701 W 5TH ST
ODESSA, TX 79763
Obstetrics & Gynecology
701 W 5TH ST
ODESSA, TX 79763
Internal Medicine (Rheumatology)
701 W 5TH ST
ODESSA, TX 79763
Family Medicine
701 W 5TH ST
ODESSA, TX 79763
Internal Medicine (Critical Care Medicine)
701 W 5TH ST
ODESSA, TX 79763
Internal Medicine
701 W 5TH ST
ODESSA, TX 79763
Clinic/Center (Ambulatory Family Planning Facility)
701 W 5TH ST
ODESSA, TX 79763
Family Medicine
701 W 5TH ST
ODESSA, TX 79763
Physician Assistant
701 W 5TH ST
ODESSA, TX 79763
Family Medicine
701 W 5TH ST, SUITE 1C34
ODESSA, TX 79763
Family Medicine (Geriatric Medicine)
701 W 5TH ST
ODESSA, TX 79763
Family Medicine
701 W 5TH ST
ODESSA, TX 79763
Psychiatry & Neurology (Forensic Psychiatry)
701 W 5TH ST
ODESSA, TX 79763
Family Medicine
701 W 5TH ST, ATTN: CREDENTIALING
ODESSA, TX 79763

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093283830, enumerated as an "individual" on November 09, 2018.

The provider is located at 701 W 5TH ST ODESSA, TX 79763 and the phone number is (432) 703-5083.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.