Marcus Eric Hinkle, MD

Individual provider Active NPI Family Medicine Physician · Brazoria, TX

NPI 1225068604 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1225068604
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
J9709 (TX)
Practice address
3084 County Road 310
Brazoria, TX 77422-6305
Phone
(979) 964-4663
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J9709TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Emergency Physician Associates, P.a. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J9709 TX Yes

Addresses

Primary practice location

3084 County Road 310
Brazoria, TX 77422-6305

Mailing address

104 E 332, Suite G
Brazoria, TX 77422
Phone (979) 798-8003

Other providers in Brazoria, TX

All providers in Brazoria, TX · Family Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.