Organization Active NPI

Round Rock OBGYN PA

  • Obstetrics & Gynecology Physician
  • Round Rock, TX
National Provider Identifier
1215068093
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M5649 Issued in TX
Legal business name
ROUND ROCK OBGYN PA
Practice address
4112 Links Lane
Suite 205
Round Rock, TX 78664
Phone
(512) 255-7762
Fax
(866) 571-3565
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Kevin Harris Brown, MDNPI 1003947870
Title
President
Phone
(512) 255-7762

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X M5649 TX Primary

Addresses

Primary practice location

4112 Links Lane
Suite 205
Round Rock, TX 78664

Mailing address

4112 Links Lane
Suite 205
Round Rock, TX 78664
Phone (512) 255-7762

National Provider Directory

National Provider Directory

Locations

1000 Hesters Crossing Rd
Ste 300
Round Rock, TX 78681
Phone (512) 238-0762

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11541/brand/42/csg/541/fhir/r4

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1215068093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 LINKS LANE",
            "address_2": "SUITE 205",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78664",
            "telephone_number": "512-255-7762",
            "fax_number": "866-571-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 LINKS LANE",
            "address_2": "SUITE 205",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78664",
            "telephone_number": "512-255-7762",
            "fax_number": "866-571-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUND ROCK OBGYN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-255-7762",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M5649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.