Eagan Medical Group Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

EAGAN MEDICAL GROUP INC

Doing business as

Eagan Medical Group of Texas

Practice address

8140 N Mopac Expy Ste 150
Austin, TX 78759-8837

Phone

(833) 766-5613

Fax

(512) 535-1413

NPI assigned

Apr 12, 2019

Organization subpart

Yes

Parent organization

EAGAN MEDICAL GROUP OF TEXAS, INCAs reported in NPPES

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

Authorized official

Name

Breanna Splain

Title

Administrator

Phone

(714) 369-8037

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Eagan Medical Group of Texas Doing business as

Part of

Eagan Medical Group Inc

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terry Van Eagan, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1538490123
  NPD (past)

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1265995401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 N MOPAC EXPY STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598837",
            "telephone_number": "337-665-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 N MOPAC EXPY STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598837",
            "telephone_number": "833-766-5613",
            "fax_number": "512-535-1413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7514 N Mo Pac Expy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787313168",
            "country_code": "US",
            "telephone_number": "888-986-0680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAGAN MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAGAN MEDICAL GROUP  OF TEXAS, INC",
        "enumeration_date": "2019-04-12",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "SPLAIN",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-369-8037"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G67163",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagan Medical Group of Texas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eagan Medical Group of Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• E Richard Parker M D P a
• E-Bella Inc Dba Bella Care EMS Services
• E-Integrated SLP Services, PLLC
• Daniel Britton Eaddy, D.D.S.
• Eag Healthcare LLC
• Jasmine Eagan, FNP-C
• Eagle Ward Rehabilitation Inc
• Eagle Ward Rehabilitation Inc
• Eagle Ward Rehabilitation, Inc
• Rebecca Eagleson

• Psychiatry Physician in Austin, TX
• Providers in Austin, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.