Individual provider Active NPI

Corey Ray Fearheiley, MD

  • Emergency Medicine Physician
  • Killeen, TX
National Provider Identifier
1013032218
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
M7175 Issued in TX
Practice address
2201 S Clear Creek Rd
Killeen, TX 76549-4110
Phone
(254) 526-7523
NPI assigned
Mar 20, 2007
Last updated
Mar 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X M7175 TX Primary

Addresses

Primary practice location

2201 S Clear Creek Rd
Killeen, TX 76549-4110

Mailing address

3747 Bowen Rd
Toledo, OH 43613-4826
Phone (419) 474-8443

Other identifiers 6

IdentifierTypeStateIssuer
8X6274OtherTXBCBS
8AS824OtherTXBCBS
8W1006OtherTXBCBS
8X9293OtherTXBCBS
8AB484OtherTXBCBS
8V5769OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070928000518 TX Practitioner - Emergency Medicine 6608961149 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M7175TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Observation Medicine Services of Texas PLLC Emergency Medicine CurrentSince Sep 12, 2018 Accepting new patients
Bryan Emergency Physicians PA Emergency Medicine CurrentSince Mar 22, 2010 Accepting new patients
Austin Critical Care Specialists PA Current Accepting new patients
Austin Critical Care Specialists PA CurrentSince Mar 1, 2020 Accepting new patients
Navarro Emergency Physicians PLLC Emergency Medicine CurrentSince Nov 27, 2023 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Jan 1, 2018 Accepting new patients

Locations

11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

1500 Red River St
Austin, TX 78701
Phone (512) 324-0150

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

1751 Crystal Falls Pkwy
Leander, TX 78641
Phone (512) 528-7000

130 Hays St
Luling, TX 78648
Phone (830) 875-7000

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

201 Seton Pkwy
Round Rock, TX 78665
Phone (512) 324-1010

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1013032218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3747 BOWEN RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436134826",
            "telephone_number": "419-474-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 S CLEAR CREEK RD",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494110",
            "telephone_number": "254-526-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEARHEILEY",
        "first_name": "COREY",
        "middle_name": "RAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M7175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8X6274",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AS824",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8W1006",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8X9293",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AB484",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8V5769",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.