Brushy Creek Medical Center

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

License

160207 Issued in TX

Legal business name

BRUSHY CREEK MEDICAL CENTER

Practice address

2105 E Palm Valley Blvd
Round Rock, TX 78665-4566

Phone

(972) 899-6625

NPI assigned

Nov 9, 2015

Last updated

Apr 7, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

FIRST CHOICE EMERGENCY ROOMAs reported in NPPES

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

Authorized official

Name

Tim Fielding

Title

Cfo

Phone

(972) 899-6625

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Brushy Creek Medical Center

Locations

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1154794436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840795",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840795",
            "telephone_number": "972-899-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 E PALM VALLEY BLVD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786654566",
            "telephone_number": "972-899-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUSHY CREEK MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST CHOICE EMERGENCY ROOM",
        "enumeration_date": "2015-11-09",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "FIELDING",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "972-899-6625"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "TX",
            "license": "160207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JCAHO",
            "identifier": "434148",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brushy Creek Emergency Physicians PLLC
• Brushy Creek Eye Care, PLLC (Advanced Eye Care and Surgery)
• Brushy Creek Family Hospital, LLC
• Brushy Creek Family Physicians
• Brushy Creek Family Physicians PA
• Alison Granzin Bryan, OTR
• Kristine Lynnette Bryan, LMSW
• Celeste Bryand, FNP
• Jayna Bryant
• Lauren Bryant, LPC

• Emergency Care Clinic/Center in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.