Individual provider Active NPI

Christina Prendergast, D.O.

  • Obstetrics & Gynecology Physician
  • Brenham, TX
National Provider Identifier
1124475322
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
S4671 Issued in TX
Practice address
604 Highway 290 W
Brenham, TX 77833-5432
Phone
(979) 421-2000
NPI assigned
May 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X S4671 TX Primary

Addresses

Primary practice location

604 Highway 290 W
Brenham, TX 77833-5432

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-8800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cprendergast585101@direct.sw.org Direct

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
I20200717001123 TX Practitioner - Obstetrics/Gynecology 3971899733 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unified Womens Healthcare of Texas PLLCGroup PAC ID 4385944230, 180 clinicians

Practice addresses (Care Compare)

602 High Tech Dr
Georgetown, TX 78626-8185
Phone (512) 863-8600

Hospital & facility affiliations

  • St David'S Medical Center Hospital, Austin, TX, CCN 450431

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Hospital Brenham Obstetrics & Gynecology CurrentSince Jul 22, 2022 Accepting new patients
Scott & White Clinic Obstetrics & Gynecology CurrentSince Jul 14, 2020 Accepting new patients
Scott & White Clinic Obstetrics & Gynecology Current Accepting new patients
Scott & White Hospital Brenham CurrentSince Jul 22, 2022 Accepting new patients
Scott & White Clinic Obstetrics & Gynecology CurrentSince Jul 14, 2020 Accepting new patients
Randall Burt MD PA Current Accepting new patients
Unified Women'S Healthcare of Texas PLLC Obstetrics & Gynecology CurrentSince Jul 1, 2025 Accepting new patients
Steven R. Macdonald, M.D., P.a. Current Accepting new patients

Locations

604 Highway 290 W
Brenham, TX 77833
Phone (979) 251-8005

700 Medical Pkwy
Brenham, TX 77833
Phone (979) 337-5000

1280 Arrington Rd
Ste 200
College Station, TX 77845
Phone (979) 207-6550

602 High Tech Dr
Georgetown, TX 78626
Phone (512) 556-4130

207 W Avenue E
Lampasas, TX 76550
Phone (512) 556-3621

6124 W Parker Rd
Ste 134
Plano, TX 75093
Phone (972) 981-7777

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Interoperability endpoints

  • Direct secure messaging: christina.prendergast.1@11541.direct.athenahealth.com
  • Direct secure messaging: cprendergast585101@direct.sw.org

Organizations & group practices 8

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 1

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": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1124475322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-724-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 HIGHWAY 290 W",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335432",
            "telephone_number": "979-421-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENDERGAST",
        "first_name": "CHRISTINA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "S4671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cprendergast585101@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "604 Highway 290 W",
            "city": "Brenham",
            "state": "TX",
            "country_code": "US",
            "postal_code": "778335432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brenham, TX

Sources for this page

Verify at the official NPI Registry.