NPIMap

Organization Active NPI

Martin E McGonagle MD PA

  • Hearing Aid Equipment
  • Brownwood, TX
National Provider Identifier
1144355892
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
Legal business name
MARTIN E MCGONAGLE MD PA
Practice address
107 S Park Dr
Brownwood, TX 76801-5951
Phone
(325) 643-5824
Fax
(325) 643-1256
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. Martin E McGonagle, MD, PANPI 1871698308
Title
Owner
Phone
(254) 965-7870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X TX Primary

Addresses

Primary practice location

107 S Park Dr
Brownwood, TX 76801-5951

Mailing address

510 E Hwy 377
Granbury, TX 76048-2556
Phone (817) 579-2662

Other identifiers 2

IdentifierTypeStateIssuer
126628005MedicaidTX
531518OtherBLUE CROSS BLUE SHIELD

Other names 1

  • MidTex Hearing Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Martin E McGonagle MD PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

107 S Park Dr
Brownwood, TX 76801
Phone (325) 643-5824

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1144355892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E HWY 377",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482556",
            "telephone_number": "817-579-2662",
            "fax_number": "817-579-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S PARK DR",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015951",
            "telephone_number": "325-643-5824",
            "fax_number": "325-643-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN E MCGONAGLE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "MCGONAGLE",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-965-7870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PA"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126628005",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "531518",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MidTex Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brownwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.