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Brooke Bynum is one of 1,633 nurse practitioners practicing in San Antonio, Texas .
Brooke Bynum practices with TMC Provider Group PLLC.
Registry record (NPPES)
NPI
1417386657
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner · 363L00000X
Address on file
22135 Bulverde Rd Ste 106 San Antonio, TX 78259-1849 (281) 783-8162
Enumerated
Nov 7, 2013
Record last updated
Sep 19, 2022
License states listed
NE, TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
1007 NE Loop Suite 410
San Antonio , TX 78209
(210) 821-5598
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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