Active NPI
SMB Healthcare Services
- Family Medicine Physician
- Killeen, TX
National Provider Identifier
1164056750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stacy Maurice Brown, FNP-BC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.
-
- Family Nurse Practitioner
- Brookhaven, MS
- NPI 1720583784
Single Specialty
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.