Brian Carreon MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BRIAN CARREON MD PA

Doing business as

Sycamore Family Medicine

Practice address

1502 12TH St Ste a
Shallowater, TX 79363-5651

Phone

(806) 832-4566

NPI assigned

Aug 31, 2020

Last updated

Jan 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Carreon, MDNPI 1831162221

Title

Owner/Provider

Phone

(806) 392-5935

Specialties & licenses 1

Addresses

Other names 1

• Sycamore Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

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.

• Brian Keith Carreon, M.D.

  • Family Medicine Physician
  • Shallowater, TX
  • NPI 1831162221
  Medicare reassignment Care Compare group NPD Authorized official
• Mackenzi Eberly, FNP-C

  • Family Nurse Practitioner
  • Shallowater, TX
  • NPI 1598146433
  Medicare reassignment Care Compare group NPD
• Brittney Bailey, PA

  • Physician Assistant
  • Lubbock, TX
  • NPI 1578013314
  Medicare reassignment Care Compare group
• Cara Baker

  • Family Nurse Practitioner
  • Shallowater, TX
  • NPI 1649643636
  Medicare reassignment NPD

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1245843051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2088",
            "city": "SHALLOWATER",
            "state": "TX",
            "postal_code": "793632088",
            "telephone_number": "806-832-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 12TH ST STE A",
            "city": "SHALLOWATER",
            "state": "TX",
            "postal_code": "793635651",
            "telephone_number": "806-832-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN CARREON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "CARREON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "806-392-5935",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sycamore Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 2 Morrows Future
• Kayla Allen, LM, CPM
• Cara Baker
• Jordan Laine Bishop
• Vanessa Lynn Bolyard, APRN, FNP
• Volnei Rui Cardoso Jr.
• Brian Keith Carreon, M.D.
• City of Shallowater (City of Shallowater EMS)
• Sharon Davis, SLP
• Mackenzi Eberly, FNP-C

• Family Medicine Physician in Shallowater, TX
• Providers in Shallowater, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.