Individual provider Active NPI

Alicia Jean Harbison, DO

  • Family Medicine Physician
  • Pantego, TX
National Provider Identifier
1306209119
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S2055 Issued in TX
Practice address
2206 W Park Row Dr Ste 102
Pantego, TX 76013-3404
Phone
(987) 817-2870
Fax
(987) 817-2869
NPI assigned
Mar 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X S2055 TX Primary

Addresses

Primary practice location

2206 W Park Row Dr Ste 102
Pantego, TX 76013-3404

Mailing address

2206 W Park Row Dr Ste 102
Pantego, TX 76013-3404
Phone (817) 860-2700

Other names 1

  • Alicia Jean Brown Former name

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
I20251024000581 TX Practitioner - Family Practice 0042506305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2206 W Park Row Dr
Suite 102
Pantego, TX 76013-3404

3624 Dorchester Dr
Bedford, TX 76021-2944

Hospital & facility affiliations

  • Medical City Arlington Hospital, Arlington, TX, CCN 450675
  • Texas Health Arlington Memorial Hospital Hospital, Arlington, TX, CCN 450064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S2055TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Todd Thang Quoc Nguyen, MD, PLLC Single Specialty CurrentSince Aug 15, 2025 Accepting new patients

Locations

1119 W Randol Mill Rd
Ste 103
Arlington, TX 76012
Phone (817) 477-0942

2206 W Park Row Dr
Ste 102
Pantego, TX 76013
Phone (987) 817-2870

5201 River Oaks Blvd
River Oaks, TX 76114
Phone (817) 626-5424

Interoperability endpoints

  • Direct secure messaging: alicia.harbison@tmg.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BHJFBD/Endpoint/BHJFBD

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1306209119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 W PARK ROW DR STE 102",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760133404",
            "telephone_number": "817-860-2700",
            "fax_number": "817-860-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 W PARK ROW DR STE 102",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760133404",
            "telephone_number": "987-817-2870",
            "fax_number": "987-817-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBISON",
        "first_name": "ALICIA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S2055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "BROWN",
            "middle_name": "JEAN",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pantego, TX

Sources for this page

Verify at the official NPI Registry.