Individual provider Active NPI

Preston Allan Milburn, M.D.

  • Urology Physician
  • Waco, TX
National Provider Identifier
1124464565
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
R6245 Issued in TX
Practice address
50 Hillcrest Medical Blvd Ste 102
Waco, TX 76712
Phone
(254) 215-9481
Fax
(254) 215-9699
NPI assigned
May 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X R6245 TX Primary

Addresses

Primary practice location

50 Hillcrest Medical Blvd Ste 102
Waco, TX 76712

Mailing address

PO Box 848491
Dallas, TX 75284-8491
Phone (254) 215-9481

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
I20180810000704 TX Practitioner - Urology 9234410424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Texas a & M University System, HSC, College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillcrest Physician ServicesGroup PAC ID 1153304456, 114 clinicians

Practice addresses (Care Compare)

100 Hillcrest Med Blvde
Waco, TX 76712-8897
Phone (254) 202-2000

140 Hillcrest Medical Blvd
Waco, TX 76712-8897

150 Hillcrest Medical Blvd
Waco, TX 76712-8897
Phone (254) 202-4000

50 Hillcrest Medical Blvd
Waco, TX 76712-8953

50 Hillcrest Medical Blvd
Waco, TX 76712-8955

50 Hillcrest Medical Blvd
Suite 206
Waco, TX 76712-8954
Phone (254) 202-7950

Hospital & facility affiliations

  • Baylor Scott & White Medical Center Hillcrest Hospital, Waco, TX, CCN 450101
  • Baylor Scott & White Medical Center - Temple Hospital, Temple, TX, CCN 450054

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection20

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hillcrest Physician Services CurrentSince Jul 27, 2018 Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients

Locations

5701 Airport Rd
#200
Temple, TX 76502
Phone (254) 215-9790

50 Hillcrest Medical Blvd
Waco, TX 76712
Phone (254) 202-7300

50 Hillcrest Medical Blvd
Ste 201
Waco, TX 76712
Phone (254) 202-0550

50 Hillcrest Medical Blvd
Ste 102
Waco, TX 76712
Phone (254) 202-7215

Interoperability endpoints

  • Direct secure messaging: pmilburn25328@direct.sw.org

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1124464565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848491",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752848491",
            "telephone_number": "254-215-9481",
            "fax_number": "254-215-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HILLCREST MEDICAL BLVD STE 102",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-215-9481",
            "fax_number": "254-215-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILBURN",
        "first_name": "PRESTON",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-13",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "R6245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.