Individual provider Active NPI

Mark Dwayne Asmussen, P.A.

  • Physician Assistant
  • Brenham, TX
National Provider Identifier
1134427602
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA07059 Issued in TX
Practice address
600 N Park St
Brenham, TX 77833-2610
Phone
(979) 836-6153
Fax
(979) 277-9074
NPI assigned
Mar 8, 2011
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA07059 TX Primary
Surgical Physician Assistant 363AS0400X PA07059 TX

Addresses

Primary practice location

600 N Park St
Brenham, TX 77833-2610

Mailing address

PO Box 844658
Dallas, TX 75284-4658

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110606000262 TX Practitioner - Physician Assistant 6709063456 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

Practice addresses (Care Compare)

Houston, TX 77070
Phone (281) 737-0899

18220 State Hwy 249
Houston, TX 77070-4347
Phone (281) 737-8300

6445 Main St
Suite 2500
Houston, TX 77030-1502
Phone (713) 441-3150

7575 San Felipe St
Suite 155
Houston, TX 77063-1777
Phone (713) 266-9955

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Sep 26, 2025 Accepting new patients
TMH Physician Associates PLLC CurrentSince Sep 26, 2025 Accepting new patients
Regional Employee Assistance Program Inc Current Accepting new patients
Houston Methodist Specialty Physicians CurrentSince Mar 1, 2026 Accepting new patients
TMH Physician Associates PLLC Past Accepting new patients
College Station RHC Company LLC Past Accepting new patients
Timberland Medical Group Physician Assistant Past Accepting new patients
Wound Care Center of Houston Inc Past Accepting new patients

Locations

24518 Northwest Fwy
Ste 525
Cypress, TX 77429
Phone (346) 618-4400

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

Interoperability endpoints

  • Direct secure messaging: masmussen421361@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1134427602",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N PARK ST",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778332610",
            "telephone_number": "979-836-6153",
            "fax_number": "979-277-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASMUSSEN",
        "first_name": "MARK",
        "middle_name": "DWAYNE",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07059",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA07059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brenham, TX

Sources for this page

Verify at the official NPI Registry.