BROOKSIDE WOMENS MEDICAL SERVICES, PA
NPI 1740336171
Specialist in Austin, TX
About Brookside Womens Medical Services, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROOKSIDE WOMENS MEDICAL SERVICES, PA (NPI 1740336171), doing business as Brookside Womens Medical Services, is a healthcare organization registered as a specialist in Austin, Texas and active in the NPI registry since January 2007. The organization lists Lendol L. Davis, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brookside Womens Medical Services, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Brookside Womens Medical Services, PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Brookside Womens Medical Services, PA's NPI number?
The NPI number for Brookside Womens Medical Services, PA is 1740336171. It was assigned to this organization in the NPPES registry on January 26, 2007. The provider was formerly known as Brookside Womens Medical Services.
Where is Brookside Womens Medical Services, PA located?
Brookside Womens Medical Services, PA is located at 1902 S I H 35, Austin, TX 78704. The listed phone number is (512) 443-9595.
What is Brookside Womens Medical Services, PA's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Brookside Womens Medical Services, PA enrolled in Medicare?
Yes. Brookside Womens Medical Services, PA is registered in the Medicare PECOS enrollment system.
When is Brookside Womens Medical Services, PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Brookside Womens Medical Services, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Brookside Womens Medical Services, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Brookside Womens Medical Services, PA accept?
Health plans from Moda Health Plan, Inc. and Sendero Health Plans, Local Nonprofit list Brookside Womens Medical Services, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Brookside Womens Medical Services, PA was last updated on October 26, 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.
# Brookside Womens Medical Services, Pa · NPI 1740336171
Specialist organization in Austin, Texas. Organization record, active in the CMS NPPES registry since January 26, 2007.
## Identity
- **NPI:** 1740336171 (Entity type: Organization)
- **Enumerated:** January 26, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Lendol Davis, OWNER
## Practice location
- **Address:** 1902 S I H 35, Austin, TX 78704-3628
- **Phone:** (512) 443-9595
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Obstetrics/Gynecology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 26, 2023
- **Other identifiers:** Medicaid 179483601 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1740336171) · Data from the CMS NPPES public registry.