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: August 09, 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 CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brooke Hannah Anderson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
701 W 5TH ST
ODESSA, TX 79763
Pediatrics (Pediatric Critical Care Medicine)
701 W 5TH ST
ODESSA, TX 79763
Student in an Organized Health Care Education/Training Program
701 W 5TH ST
ODESSA, TX 79763
Pediatrics
701 W 5TH ST
ODESSA, TX 79763
Student in an Organized Health Care Education/Training Program
701 W 5TH ST
ODESSA, TX 79763
Student in an Organized Health Care Education/Training Program
701 W 5TH ST
ODESSA, TX 79763
Student in an Organized Health Care Education/Training Program
701 W 5TH ST
ODESSA, TX 79763
Internal Medicine
701 W 5TH ST
ODESSA, TX 79763

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 Brooke Anderson's NPI number?

The NPI number for Brooke Anderson is 1093283830. It was assigned to this individual provider in the NPPES registry on November 9, 2018.

Where is Brooke Anderson located?

Brooke Anderson practices at 701 W 5th St, Odessa, TX 79763. The listed phone number is (432) 703-5083.

What is Brooke Anderson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brooke Anderson enrolled in Medicare?

Yes. Brooke Anderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brooke Anderson was last updated on April 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.