Individual provider Active NPI

Dan L Locker, M.D.

  • Surgery Physician
  • Brownwood, TX
National Provider Identifier
1205824620
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
E1026 Issued in TX
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

Updated by the provider on Nov 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
152895201MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091222000656 TX Practitioner - General Surgery 9436153046 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc Surgery CurrentSince Apr 1, 2012 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Apr 1, 2012 Accepting new patients
Brownwood Allergy Clinic, PLLC PastSince May 30, 2006 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

  • Direct secure messaging: dlocker@yourcarecommunity.org
  • FHIR API: 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.

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

Verify at the official NPI Registry.