Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124197173 Individual Practitioner Female Practitioner

Dr. Lisa Danielle Brostrom , MD, FACS

Plastic Surgery • Fort Sam Houston, TX

Professional Overview & Biography Verified Profile Summary

Dr. Lisa Brostrom, MD, FACS is a registered healthcare professional specializing in Plastic Surgery in Fort Sam Houston, TX. Practice services are available at 3551 ROGER BROOKE DR BLDG 3600 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3551 Roger Brooke Dr Bldg 3600

Fort Sam Houston, TX 782344504

Telephone 2102696113

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Fort Sam Houston, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 29.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Fort Sam Houston, TX (399 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License TX L4266

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Secondary Practice Locations

5680 Guilford Ave

Indianapolis, IN 462203267

Phone: 3175365967

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Joy Wheat , MD

Obstetrics & Gynecology - Female Pelvic Medicine and Reconstructive Surgery

NPI 1114180528

Doctor of Medicine (M.D.)

Edward Kissam , AG-ACNP

Nurse Practitioner - Acute Care

NPI 1194400473

Adult-Gerontology Acute Care Nurse Practitioner

Selena Vela , PA-C

Physician Assistant

NPI 1568645281

Physician Assistant (Certified)

Dr. Fawn Hogan , MD

Plastic Surgery

NPI 1588879316

Doctor of Medicine (M.D.)

Lisa Newton , FNP-BC

Nurse Practitioner - Family

NPI 1982834180

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location September 12, 2019

Registered at 3551 ROGER BROOKE DR BLDG 3600, FORT SAM HOUSTON, TX 782344504 (Tel: 2102696113)

📍
Updated Business Mailing Address September 12, 2019

Registered at 3551 ROGER BROOKE DR BLDG 3600, FORT SAM HOUSTON, TX 782344504 (Tel: 2102696113)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2019

Plastic Surgery (License #L4266 in TX)

NPI Profile Active July 12, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2007

Registered at 5680 GUILFORD AVE, INDIANAPOLIS, IN 462203267 (Tel: 3175365967)

📍
Updated Business Mailing Address July 12, 2007

Registered at 5680 GUILFORD AVE, INDIANAPOLIS, IN 462203267 (Tel: 2102696113)

👤
Provider Name / Credentials Updated July 12, 2007

Recorded as LISA BROSTROM, MD, FACS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2007

General Acute Care Hospital (License #TX4266 in TX)

🟢
Initial NPI Registration & Enumeration November 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124197173
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2006
Last Update: September 12, 2019
Sole Proprietor: Yes

Mailing Address

3551 Roger Brooke Dr Bldg 3600

Fort Sam Houston, TX 782344504

Phone: 2102696113

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.