Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brooke Marie Bynum, NP

Individual provider Family Nurse Practitioner · NPI 1417386657

Brooke Marie Bynum, NP is a Nurse Practitioner in San Antonio, Texas. Qualified in 2013, 13 years ago. Practices with Tmc Provider Group PLLC, a 214-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nebraska and Texas.

Years since qualifying
13
Licensed in
NE, TX
In the registry since
2013
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

22135 Bulverde Rd Ste 106
San Antonio, TX 78259-1849
Phone: (281) 783-8162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4628 Crestview Dr, Papillion, NE 68133-4776 — (702) 808-6964

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1092641 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 111595 (NE)

Record details

NPI number1417386657
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 7, 2013
Last updated in NPPESSeptember 19, 2022
Certification dateSeptember 19, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Tmc Provider Group Pllc — 214 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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