Organization
BROOKE ARMY MEDICAL CENTER
Active
Other names
AMC BAMC-FSH
Organization subpart
No
Provider details
NPI number
Authorized official
CHARON MONIQUE SEYMORE (UBO MANAGER)
(210) 916-8563
Entity
Organization
Contact information
Practice address
3851 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4501
(210) 916-4141
Mailing address
3551 ROGER BROOKE DR, MCHE-COU-M DEPT 211, FT SAM HOUSTON, TX 78234-4501
(210) 916-8563
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
—
—
261QM1101X
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
—
—
286500000X
Military Hospital
Primary
—
TX
286500000X
Military Hospital
—
—
2865M2000X
Military General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021756401
—
TX
01
—
36JK
BC BS PROVIDER NUMBER
TX
01
—
4503884
NCPDP
—
01
—
AN2598588
MEDCO
—
01
—
HH6037
BC BS PROVIDER NUMBER
TX
Enumeration date
10/06/2006
Last updated
07/25/2025
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