Organization Active NPI

Brownwood Clinic PA

  • Family Medicine Physician
  • Brownwood, TX
National Provider Identifier
1194805283
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0244 Issued in TX
Legal business name
BROWNWOOD CLINIC PA
Practice address
101 B South Park Drive
Brownwood, TX 76801
Phone
(325) 646-3502
Fax
(325) 643-6567
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Christopher Gist Stephens, MD
Title
President
Phone
(325) 646-3502

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X H0244 TX Primary
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X G0551 TX

Addresses

Primary practice location

101 B South Park Drive
Brownwood, TX 76801

Mailing address

101 B South Park Drive
Brownwood, TX 76801
Phone (325) 646-3502

Other identifiers 2

IdentifierTypeStateIssuer
085053 01MedicaidTX
0001DXOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060111000644 TX Part B Supplier - Clinic/Group Practice 9830112267 Receives reassigned benefits from 1 practitioner
Practice locations: Brownwood, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1037196Brownwood Clinic, PA101 B South Park Dr, Brownwood, TX 76801Certificate of waiverFeb 16, 2027

National Provider Directory

National Provider Directory

Locations

101 S Park Dr
Ste B
Brownwood, TX 76801
Phone (325) 646-3502

Practitioners & affiliated clinicians

Practitioners 2

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": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1194805283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 B SOUTH PARK DRIVE",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "76801",
            "telephone_number": "325-646-3502",
            "fax_number": "325-643-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 B SOUTH PARK DRIVE",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "76801",
            "telephone_number": "325-646-3502",
            "fax_number": "325-643-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNWOOD CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "GIST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "325-646-3502",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H0244",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "G0551",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085053 01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0001DX",
            "state": "TX"
        }
    ],
    "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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.