Individual provider Active NPI

Brandon M. Goetz, N.P.

  • Nurse Practitioner
  • Abilene, TX
National Provider Identifier
1013268937
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
698724 Issued in TX
Practice address
1900 Pine St
Abilene, TX 79601-2432
Phone
(325) 670-2151
Fax
(405) 321-4603
NPI assigned
Oct 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 698724 TX Primary

Addresses

Primary practice location

1900 Pine St
Abilene, TX 79601-2432

Mailing address

1633 Cottonwood St
Abilene, TX 79601-3033
Phone (325) 672-4372

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121018000817 TX Practitioner - Nurse Practitioner 3375793821 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians Southwest, PA Nurse Practitioner CurrentSince Sep 5, 2023 Accepting new patients
Hendrick Provider Network Past Accepting new patients

Locations

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

1501 Burnet Rd
Brownwood, TX 76801
Phone (325) 646-8541

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

200 E Arizona Ave
Sweetwater, TX 79556
Phone (325) 235-1701

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/mitchco-ec738402
  • Direct secure messaging: brandon.goetz.p1@direct.abileneboneandjoint.nextgenshare.com
  • Direct secure messaging: brandon.goetz.p3@direct.abileneboneandjoint.nextgenshare.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1013268937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 COTTONWOOD ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796013033",
            "telephone_number": "325-672-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012432",
            "telephone_number": "325-670-2151",
            "fax_number": "405-321-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "BRANDON",
        "middle_name": "M.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "698724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.