Organization Active NPI

Hendrick Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Brownwood, TX
National Provider Identifier
1164964953
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
HENDRICK SURGERY CENTER LLC
Practice address
2401 Crockett Dr
Brownwood, TX 76801-5941
Phone
(325) 670-5359
Fax
(325) 670-4508
NPI assigned
Nov 9, 2016
Last updated
Nov 9, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
HENDRICK MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Authorized official

Name
Jeremy Walker
Title
Chief Financial Officer
Phone
(325) 670-2182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

2401 Crockett Dr
Brownwood, TX 76801-5941

Mailing address

PO Box 3117
Abilene, TX 79604-3117
Phone (325) 670-5359

National Provider Directory

National Provider Directory
Part of
Hendrick Medical Center

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1164964953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3117",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796043117",
            "telephone_number": "325-670-5359",
            "fax_number": "325-670-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 CROCKETT DR",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015941",
            "telephone_number": "325-670-5359",
            "fax_number": "325-670-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRICK SURGERY CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENDRICK MEDICAL CENTER",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "325-670-2182"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 9, 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.