USA Emergency Centers - Bastrop, LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

USA EMERGENCY CENTERS - BASTROP, LLC

Doing business as

Ally Medical Emergency Room Bastrop

Practice address

512 Highway 71 W
Bastrop, TX 78602-3735

Phone

(512) 321-0911

Fax

(512) 852-4625

NPI assigned

Sep 4, 2018

Last updated

Mar 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Carter, MD

Title

Governing Board Member

Phone

(512) 451-0911

Specialties & licenses 1

Addresses

Other names 3

• Ally Medical Emergency Room Bastrop Doing business as
• Ally Medical Other name
• Physicians Premier Other name

Locations

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1013499383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 BURNET RD STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787561646",
            "telephone_number": "512-451-0911",
            "fax_number": "512-321-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 HIGHWAY 71 W",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023735",
            "telephone_number": "512-321-0911",
            "fax_number": "512-852-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA EMERGENCY CENTERS - BASTROP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-04",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "GOVERNING BOARD MEMBER",
        "authorized_official_telephone_number": "512-451-0911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ally Medical Emergency Room Bastrop",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ally Medical",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Physicians Premier",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Benjamin Jason Trowbridge, D.C.
• Troy Alonzo Enis Jr.,Inc.
• Melissa Jacquelyn Troy
• Michelle Truong
• Stacia Urban
• Kirtana Vedire, DMD
• Baris Vefali, MD
• Tiffany Rose Vigil, PSY.D.
• Laurier A Vocal, MD
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-1042)

• Emergency Care Clinic/Center in Bastrop, TX
• Providers in Bastrop, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.