Individual provider Active NPI

Timothy Joe Hillbrick Jr., D.O.

  • Family Medicine Physician
  • Georgetown, TX
National Provider Identifier
1205835451
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K6467 Issued in TX
Practice address
1507 Rivery Blvd
Georgetown, TX 78628-3058
Phone
(512) 509-9550
NPI assigned
Jul 19, 2005
Last updated
Aug 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NV962 NV
Family Medicine Physician 207Q00000X K6467 TX Primary

Addresses

Primary practice location

1507 Rivery Blvd
Georgetown, TX 78628-3058

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111

Other names 1

  • Joe Hillbrick Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thillbrick662415@direct.sw.org

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
I20150604000473 TX Practitioner - Family Practice 0749214765 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NV962NVMDFamily Medicine Physician
K6467TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic Family Medicine Current Accepting new patients
Serve All Medical, PLLC CurrentSince Jan 1, 2023 Accepting new patients
Scott & White Clinic Family Medicine CurrentSince May 12, 2020 Accepting new patients
Scott and White Clinic Family Medicine CurrentSince May 12, 2020 Accepting new patients
Hillbrick Family Medicine Family Medicine Past Accepting new patients
Hillbrick Family Medicine PC Family Medicine PastSince Sep 21, 2005 Accepting new patients

Locations

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

1447 Acton Ave
Duncanville, TX 75137
Phone (469) 836-1053

3305 Miller Ave
Ste B
Fort Worth, TX 76119
Phone (682) 253-8204

7700 Camp Bowie West Blvd
Ste 100
Fort Worth, TX 76116
Phone (940) 240-2411

1507 Rivery Blvd
Georgetown, TX 78628
Phone (512) 509-9550

513 W Jefferson St
Ste 170
Grand Prairie, TX 75051
Phone (469) 213-8421

2804 S W S Young Dr
Ste 325
Killeen, TX 76542
Phone (254) 236-5575

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Interoperability endpoints

  • Direct secure messaging: thillbrick662415@direct.sw.org

Organizations & group practices 6

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1205835451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-724-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 RIVERY BLVD",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283058",
            "telephone_number": "512-509-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLBRICK",
        "first_name": "TIMOTHY",
        "middle_name": "JOE",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "NV962",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K6467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thillbrick662415@direct.sw.org",
            "affiliation": "N",
            "address_1": "1507 Rivery Blvd",
            "city": "Georgetown",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786283058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JOE",
            "last_name": "HILLBRICK",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.