BROOKE A HODNICK (P.A.) – Physician Assistant, NPI 1437294170

BROOKE A HODNICK (P.A.) is a healthcare provider. based in Southlake, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA03973 (TX). The NPI Number for BROOKE A HODNICK (P.A.) is 1437294170

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
BROOKE A HODNICK (P.A.)
NPI
1437294170
Phone
(817) 410-7777
Address
300 S NOLEN DR STE 100
Enumeration Date
20 February 2007
Last Update Date
9 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8174241525
Graduation Year
2003 (23 years ago)
PAC ID
9032184973
Group Practice PAC ID
3375531379
Professional Enrollment ID
I20040908001604
Address ID
TX760929167SO505XXDRXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for BROOKE A HODNICK (P.A.)

  • 300 S NOLEN DR STE 100

    SOUTHLAKE, TX 760928057

    Phone: (817) 410-7777

    Fax: (817) 410-9906

    Type: Location

  • 505 S NOLEN DR STE A

    SOUTHLAKE, TX 760929167

    Phone: (817) 424-1525

    Fax: (817) 424-3491

    Type: Location

  • PO BOX 35629

    DALLAS, TX 752350629

    Phone: (214) 424-2200

    Fax: (214) 231-2159

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 604 Open Payments records for all available years, with a total value of $255,492.

Total Amount is formed as General ($255,492) + Research ($0) + Ownership ($0) = $255,492.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($173,617).

Total Amount

$255,492

General + Research + Ownership

Payments

604

Total payment records

General Amount

$255,492

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-09-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040908001604IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1817$0
View full utilization report →

Insurance plans in this area (ZIP 76092)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375531379View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineTX
Gastroenterology, Internal MedicineTX
Nurse PractitionerTX
Internal Medicine, GastroenterologyTX
G A S T R O E N T E R O L O G YTX
Gastroenterology, Internal MedicineTX
G A S T R O E N T E R O L O G YTX
G A S T R O E N T E R O L O G YTX
G A S T R O E N T E R O L O G YLA
Gastroenterology, Internal MedicineTX

Reviews

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Frequently asked questions

What identifier follows BROOKE A HODNICK (P.A.) across health systems?
The NPI 1437294170 uniquely identifies BROOKE A HODNICK (P.A.) in U.S. healthcare data.
Is BROOKE A HODNICK (P.A.)'s NPI status active today?
Active status means BROOKE A HODNICK (P.A.)'s NPI record is not deactivated in the public file.
Which specialty label fits BROOKE A HODNICK (P.A.)?
NPPES ties BROOKE A HODNICK (P.A.) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to BROOKE A HODNICK (P.A.)?
BROOKE A HODNICK (P.A.) shows a connection to Southlake, Texas in registry-derived data.
Can I export BROOKE A HODNICK (P.A.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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