Individual provider Active NPI

Matthew Duane Faubion, M.D.

  • Forensic Psychiatry Physician
  • Big Spring, TX
National Provider Identifier
1295769743
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
License
N4408 Issued in TX
Practice address
319 Runnels St
Big Spring, TX 79720-2527
Phone
(432) 263-0027
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X N4408 TX
Forensic Psychiatry Physician 2084F0202X N4408 TX Primary

Addresses

Primary practice location

319 Runnels St
Big Spring, TX 79720-2527

Mailing address

319 Runnels St
Big Spring, TX 79720-2527
Phone (432) 263-0027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091210000156 TX Practitioner - Psychiatry 2860532553 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Permian Basin Community Centers for Mental Health & Mental Retardation Psychiatry CurrentSince Nov 1, 2022 Accepting new patients
West Texas Centers for MHMR Psychiatry CurrentSince May 30, 2020 Accepting new patients
Permian Basin Community Centers for Mental Health & Mental Retardation Psychiatry CurrentSince Nov 1, 2022 Accepting new patients

Locations

1501 W 11th Pl
Ste 104
Big Spring, TX 79720
Phone (432) 263-0027

409 Runnels St
Big Spring, TX 79720
Phone (432) 264-2650

319 Runnels St
Big Spring, TX 79720
Phone (432) 263-0027

400 N Carver St
Midland, TX 79701
Phone (432) 570-3385

401 E Illinois Ave
Ste 100
Midland, TX 79701
Phone (432) 570-3300

401 E Illinois Ave
Ste 300
Midland, TX 79701
Phone (432) 570-3342

700 W Daggett St
Ste 4
Pecos, TX 79772
Phone (432) 447-2628

304 W New Mexico Ave
Sweetwater, TX 79556
Phone (325) 236-6619

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Oklahoma College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Texas Centers for MHMR 14 clinicians

Practice addresses (Care Compare)

1501 W 11TH PL
Suite 104
Big Spring, TX 79720-4122
Phone (432) 263-0027

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1295769743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 RUNNELS ST",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797202527",
            "telephone_number": "432-263-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 RUNNELS ST",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797202527",
            "telephone_number": "432-263-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUBION",
        "first_name": "MATTHEW",
        "middle_name": "DUANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N4408",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "TX",
            "license": "N4408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Spring, TX

Sources for this page

Verify at the official NPI Registry.