NPIMap

Organization Active NPI

Hendrick Medical Center Brownwood

Doing business as Hendrick Physician Group Brownwood

  • Internal Medicine Physician
  • Brownwood, TX
National Provider Identifier
1245084169
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HENDRICK MEDICAL CENTER BROWNWOOD
Doing business as
Hendrick Physician Group Brownwood
Practice address
2371 Crockett Dr Ste 104
Brownwood, TX 76801-5903
Phone
(325) 670-2000
NPI assigned
Apr 16, 2024
Last updated
Apr 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Andrew T Eurek
Title
Director, Financial Analysis
Phone
(325) 670-3424

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Multi-Specialty Clinic/Center 261QM1300X
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

2371 Crockett Dr Ste 104
Brownwood, TX 76801-5903

Mailing address

2371 Crockett Dr Ste 102
Brownwood, TX 76801-5903
Phone (325) 670-2000

Other names 1

  • Hendrick Physician Group Brownwood Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240514000137 TX Part B Supplier - Clinic/Group Practice 3779993456 Receives reassigned benefits from 35 practitioners
Practice locations: Brownwood, TX; Early, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

2371 Crockett Dr
Ste 104
Brownwood, TX 76801
Phone (325) 430-6319

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1245084169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2371 CROCKETT DR STE 102",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015903",
            "telephone_number": "325-670-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2371 CROCKETT DR STE 104",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015903",
            "telephone_number": "325-670-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRICK MEDICAL CENTER BROWNWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "EUREK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR, FINANCIAL ANALYSIS",
        "authorized_official_telephone_number": "325-670-3424"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hendrick Physician Group Brownwood",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hendrick Physician Group Brownwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.