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MRS. BROOKE LEANN JORDAN D.O.
NPI 1639513294
Family Medicine in Fort Worth, TX

Active since April 24, 2013Opted out of Medicare · through Aug 28, 2027
1500 S MAIN ST, FORT WORTH, TX 76104(817) 702-3431 Get Directions Write a Review

NPPES record last updated: July 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Brooke Leann Jordan D.o. NPPES

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

MRS. BROOKE LEANN JORDAN D.O. (NPI 1639513294) is an individual family medicine provider in Fort Worth, Texas, licensed in Texas (Q8521) and active in the NPI registry since April 2013. She has opted out of Medicare through August 28, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639513294
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. BROOKE LEANN JORDANCredential: D.O.
Location Address1500 S MAIN STFort Worth, TX 76104-4917
Mailing Address2901 Bledsoe St, Apt 2493Fort Worth, TX 76107-1810 · (817) 291-4505
Phone(817) 702-3431
Sole ProprietorYes
Enumeration DateApril 24, 2013
Last NPPES UpdateJuly 7, 2016
✔ NPI 1639513294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · Q8521
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 573164 (TX)
1500 S MAIN ST, Fort Worth, TX 76104
Open in Google Maps ↗

Other Identifiers 1

OtherQ8521TX · Medical License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Brooke Leann Jordan D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 28, 2019 through August 28, 2027.

Opt-Out Effective DateAugust 28, 2019
Opt-Out In Effect ThroughAugust 28, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JONATHAN A LAZARINI MD
Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (903) 353-2265
ALLYSON EVANS
Nurse Anesthetist, Certified Registered
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (801) 792-5267
DR. TREVOR A JOHNSON MD
Family Medicine
1500 S MAIN ST
FT WORTH, TX 76104
Tarrant County (817) 702-3431
DR. LELIA ERRETT WILLIAMS MD
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-1244
MITCHELL JOHNSON
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-1100
RIDDHI RANE MD
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-6500
DR. JOANE BAUMER M.D.
Family Medicine
1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104
Tarrant County (817) 335-1034
SHARYL WORKMAN PA
Physician Assistant
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 927-1100

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 Jordan's NPI number?

The NPI number for Brooke Jordan is 1639513294. It was assigned to this individual provider in the NPPES registry on April 24, 2013.

Where is Brooke Jordan located?

Brooke Jordan practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 702-3431.

What is Brooke Jordan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Brooke Jordan enrolled in Medicare?

No. Brooke Jordan has opted out of Medicare through August 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Brooke Jordan was last updated on July 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.