Organization Active NPI

Heartland Anesthesia PA

  • Pain Medicine (Anesthesiology) Physician
  • Brownwood, TX
National Provider Identifier
1265528657
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
J9240 Issued in TX
Legal business name
HEARTLAND ANESTHESIA PA
Practice address
120 S Park Dr
Brownwood, TX 76801-5918
Phone
(325) 641-1309
Fax
(325) 641-1310
NPI assigned
Oct 5, 2006
Last updated
Oct 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Dr. Leonard Gaylon Nepper, DO
Title
President
Phone
(325) 641-1309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X J9240 TX Primary

Addresses

Primary practice location

120 S Park Dr
Brownwood, TX 76801-5918

Mailing address

PO Box 2368
Brownwood, TX 76804-2368
Phone (325) 641-1309

Other identifiers 6

IdentifierTypeStateIssuer
0051HQOtherTXBLUE CROSS BLUE SHIELD
150572901MedicaidTX
45D1087227OtherTXCLIA NUMBER - BWD
CJ8608OtherTXRR MEDICARE GROUP #
00367TOtherTXMEDICARE GROUP #
45D1086869OtherTXCLIA NUMBER - SA

National Provider Directory

National Provider Directory

Locations

107 S Park Dr
Ste D
Brownwood, TX 76801
Phone (325) 641-1309

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1265528657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2368",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768042368",
            "telephone_number": "325-641-1309",
            "fax_number": "325-641-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S PARK DR",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015918",
            "telephone_number": "325-641-1309",
            "fax_number": "325-641-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND ANESTHESIA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "NEPPER",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "GAYLON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "325-641-1309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "J9240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0051HQ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150572901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER - BWD",
            "identifier": "45D1087227",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP #",
            "identifier": "CJ8608",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "00367T",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER - SA",
            "identifier": "45D1086869",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 29, 2008; 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.