Active NPI
Dan L Locker, M.D.
- Surgery Physician
- Brownwood, TX
National Provider Identifier
1205824620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- E1026
- Practice address
- 125 S Park Dr
Ste a
Brownwood, TX 76801-5952 - Phone
- (325) 646-1122
- Fax
- (325) 643-2999
- NPI assigned
- Oct 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | E1026 | TX | Primary |
Addresses
Primary practice location
125 S Park Dr
Ste a
Brownwood, TX 76801-5952
Mailing address
125 S Park Dr
Ste a
Brownwood, TX 76801-5952
Phone (325) 646-1122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152895201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Employee Assistance Program Inc | Surgery | Current | Accepting new patients |
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Brownwood Allergy Clinic, PLLC | Past | Accepting new patients |
Locations
2502 Crockett Dr
Brownwood, TX 76801
Phone (325) 643-5521
125 S Park Dr
Ste A
Brownwood, TX 76801
Phone (325) 641-1648
1501 Burnet Rd
Brownwood, TX 76801
Phone (325) 646-8541
Interoperability endpoints
- dlocker@yourcarecommunity.org
- https://api.platform.athenahealth.com/12158/brand/1/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Corsicana, TX
- NPI 1649232984
Surgery
-
- Cardiovascular Disease Physician
- Abilene, TX
- NPI 1073575585
-
- Multi-Specialty Clinic/Center
- Brownwood, TX
- NPI 1821014119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384300800000",
"number": "1205824620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 S PARK DR",
"address_2": "STE A",
"city": "BROWNWOOD",
"state": "TX",
"postal_code": "768015952",
"telephone_number": "325-646-1122",
"fax_number": "325-643-2999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 S PARK DR",
"address_2": "STE A",
"city": "BROWNWOOD",
"state": "TX",
"postal_code": "768015952",
"telephone_number": "325-646-1122",
"fax_number": "325-643-2999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKER",
"first_name": "DAN",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2013-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "E1026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152895201",
"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 Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.