Individual provider Active NPI

Caroline Elise McBryde

  • Physician Assistant
  • Dalhart, TX
National Provider Identifier
1134848849
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18375 Issued in TX
Practice address
206 E 16TH St
Dalhart, TX 79022-4802
Phone
(806) 244-5668
NPI assigned
Aug 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA18375 TX Primary

Addresses

Primary practice location

206 E 16TH St
Dalhart, TX 79022-4802

Mailing address

206 East 16T St.
Dalhart, TX 79022

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
I20250801002449 TX Practitioner - Physician Assistant 5890203756 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallam-Hartley Counties Hospital DistrictGroup PAC ID 0143112805, 17 clinicians

Practice addresses (Care Compare)

PO Box
Suite 2014
Dalhart, TX 79022

Hospital & facility affiliations

  • Accentcare Health Home health agency, Amarillo, TX, CCN 457754
  • Coon Memorial Hospital Hospital, Dalhart, TX, CCN 451331

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dallam-Hartley Counties Hospital District CurrentSince May 23, 2025 Accepting new patients
Dallam-Hartley Counties Hospital District CurrentSince May 23, 2025 Accepting new patients
Dallam-Hartley Counties Hospital District CurrentSince Sep 11, 2025 Accepting new patients
Dallam-Hartley Counties Hospital District Physician Assistant CurrentSince May 23, 2025 Accepting new patients
High Country Community Rural Health Clinic Past Accepting new patients

Locations

206 E 16th St
Dalhart, TX 79022
Phone (806) 244-5668

210 E Texas Blvd
Dalhart, TX 79022
Phone (806) 244-8555

320 E Texas Blvd
Dalhart, TX 79022
Phone (806) 244-3824

1411 Denver Ave
Dalhart, TX 79022
Phone (806) 244-4571

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 2

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": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1134848849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 EAST 16T ST.",
            "city": "DALHART",
            "state": "TX",
            "postal_code": "79022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E 16TH ST",
            "city": "DALHART",
            "state": "TX",
            "postal_code": "790224802",
            "telephone_number": "806-244-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRYDE",
        "first_name": "CAROLINE",
        "middle_name": "ELISE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalhart, TX

Sources for this page

Verify at the official NPI Registry.