Bastrop Medical Clinic, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BASTROP MEDICAL CLINIC, PA

Practice address

195 S Hasler Blvd
Suite B-1
Bastrop, TX 78602-4081

Phone

(512) 308-1555

Fax

(512) 308-1565

NPI assigned

Jul 14, 2006

Last updated

Jul 16, 2026By 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

Augustin Roger BatlleNPI 1902985427

Title

Owner

Phone

(512) 308-1555

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Augustin Roger Batlle, MD

  • Internal Medicine Physician
  • Bastrop, TX
  • NPI 1902985427
  Medicare reassignment Care Compare group Authorized official
• Katie Jo Dixon, FNP-C

  • Primary Care Nurse Practitioner
  • Bastrop, TX
  • NPI 1437757432
  Medicare reassignment Care Compare group NPD
• Jennifer Herbin

  • Family Nurse Practitioner
  • Bastrop, TX
  • NPI 1962827576
  Medicare reassignment NPD

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1043236201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 938",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765400938",
            "telephone_number": "512-308-1555",
            "fax_number": "512-308-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 S HASLER BLVD",
            "address_2": "SUITE B-1",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024081",
            "telephone_number": "512-308-1555",
            "fax_number": "512-308-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASTROP MEDICAL CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "BATLLE",
        "authorized_official_first_name": "AUGUSTIN",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-308-1555"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "J6324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bastrop Family Dentistry
• Bastrop Family Eye Care
• Bastrop Independent School District
• Bastrop Kids Teeth, PLLC
• Bastrop Lost Pines Center for Cancer Care LTD (The Bastrop Lost Pines Center for Cancer Care)
• Bastrop Medicine Shop LLC
• Bastrop Modern Dentistry,PC (Bastrop Modern Dentistry)
• Bastrop Open MRI L L P Partnership
• Augustin Roger Batlle, MD
• Lance A Beahm, PA-C

• Internal Medicine Physician in Bastrop, TX
• Providers in Bastrop, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.