Timberland Medical Group

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TIMBERLAND MEDICAL GROUP

Practice address

1301 Medical Pkwy Ste 140
Cedar Park, TX 78613-2529

Phone

(512) 379-3660

NPI assigned

Aug 1, 2023

Last updated

Aug 1, 2023By 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

Jennifer L Jackson

Title

SNR Director, Provider Enrollment

Phone

(615) 465-3334

Specialties & licenses 1

Addresses

Locations (25 of 44)

Practitioners 131

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandi Addison, D.O

  • Endocrinology, Diabetes & Metabolism Physician
  • Corpus Christi, TX
  • NPI 1891115275
  NPD
• Richard Allen Alexander Jr., MD

  • Surgery Physician
  • Cedar Hill, TX
  • NPI 1164679627
  NPD
• Eugenie J Anderson, WHNP

  • Women's Health Nurse Practitioner
  • Cedar Park, TX
  • NPI 1659475093
  NPD
• Maria Liliana Asprilla, DO

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1558339192
  NPD
• Harsh Babbar, MD

  • Pulmonary Disease Physician
  • Cedar Park, TX
  • NPI 1114105418
  NPD
• Richard Cho Bang, M.D.

  • Family Medicine Physician
  • Laredo, TX
  • NPI 1467442848
  NPD
• Melinda D. Banister, M.D.

  • Surgery Physician
  • Lubbock, TX
  • NPI 1770567109
  NPD
• Margarito Benitez, FNP

  • Adult Health Nurse Practitioner
  • Laredo, TX
  • NPI 1699165043
  NPD
• Edward B Blackmon Jr., MD

  • Obstetrics & Gynecology Physician
  • Jourdanton, TX
  • NPI 1114092251
  NPD
• Stephen S Bodi, PA-C

  • Physician Assistant
  • Cedar Park, TX
  • NPI 1548225063
  NPD
• Michael Bruce Bogdanovich, MD

  • Family Medicine Physician
  • Cedar Park, TX
  • NPI 1386609048
  NPD
• Mamatha Bollineni, M.D.

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1639353139
  NPD

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1023790045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-778-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MEDICAL PKWY STE 140",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132529",
            "telephone_number": "512-379-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERLAND MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SNR DIRECTOR, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "615-465-3334"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diba Tillery, RN, IBCLC
• Tillman Physical Therapy & Sports Training
• Tillman Physical Therapy & Sports Training Center, Inc
• Michael Ray Tillman, MPT, CSCS, CERT, MDT
• Michelle L Tilton
• Timberland Medical Group
• De'John L Tinsley, RBT-23-311294
• TLC Dental, PLLC (TLC Pediatric Dentistry & Orthodontics)
• TLC Pediatric Dentistry PLLC
• Jorge G Tobar, MD

• Durable Medical Equipment & Medical Supplies in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.