Organization Active NPI

SMB Healthcare Services

  • Family Medicine Physician
  • Killeen, TX
National Provider Identifier
1164056750
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SMB HEALTHCARE SERVICES
Practice address
4200 W Stan Schlueter Loop Ste A104
Killeen, TX 76549-5725
Phone
(601) 454-1847
NPI assigned
Feb 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Mr. Stacy Maurice Brown, FNP-BCNPI 1720583784
Title
Nurse Practitioner / Owner
Phone
(601) 454-1847

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4200 W Stan Schlueter Loop Ste A104
Killeen, TX 76549-5725

Mailing address

4200 W Stan Schlueter Loop Ste A104
Killeen, TX 76549-5725
Phone (601) 454-1847

National Provider Directory

National Provider Directory

Locations

4200 W Stan Schlueter Loop
Ste A104
Killeen, TX 76549
Phone (254) 535-3980

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": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1164056750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W STAN SCHLUETER LOOP STE A104",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765495725",
            "telephone_number": "601-454-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W STAN SCHLUETER LOOP STE A104",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765495725",
            "telephone_number": "601-454-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMB HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "MAURICE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER / OWNER",
        "authorized_official_telephone_number": "601-454-1847",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.