Active NPI
Brock Wade Morris, CFNP
- Family Nurse Practitioner
- Hobbs, NM
National Provider Identifier
1306287024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP-02232
- Practice address
- 2410 N Fowler St
Hobbs, NM 88240-2312 - Phone
- (575) 392-2040
- Fax
- (575) 392-6752
- NPI assigned
- Jul 10, 2013
- Last updated
- Oct 8, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP-02232 | NM | Primary |
Addresses
Primary practice location
2410 N Fowler St
Hobbs, NM 88240-2312
Mailing address
2410 N Fowler St
Hobbs, NM 88240-2312
Phone (575) 392-2040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79157 | Other | TX | COMPACT RN LICENSE |
| CNP-02232 | Other | NM | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
209 NW 8TH St
Seminole, TX 79360-3447
Phone (915) 758-5811
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Medical Group Inc. | Family | Current | Accepting new patients |
| Seminole Hospital District of Gaines County Texas | Current | Accepting new patients | |
| Seminole Hospital District of Gaines County Texas | Current | Accepting new patients | |
| Briarwood Clinic, LLC | Family | Past | Accepting new patients |
Locations
2410 N Fowler St
Hobbs, NM 88240
Phone (505) 392-2040
1004 Hobbs Hwy
Ste 4
Seminole, TX 79360
Phone (432) 758-4777
209 NW 8th St
Seminole, TX 79360
Phone (432) 758-5811
Interoperability endpoints
- https://api.platform.athenahealth.com/1911/brand/1/csg/1/fhir/r4
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Memorial Hospital
- Critical Access Hospital
- Seminole, TX
- NPI 1821025990
-
dba Seminole Community Pharmacy
- Community/Retail Pharmacy
- Seminole, TX
- NPI 1427618461
-
- Family Nurse Practitioner
- Midland, TX
- NPI 1881069995
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Excelacare Home Health
- Home Health Agency
- Lubbock, TX
- NPI 1710927983
-
dba Covenant Children's Hospital
- Children's Hospital
- Lubbock, TX
- NPI 1437171568
-
dba Memorial Hospital
- Critical Access Hospital
- Seminole, TX
- NPI 1821025990
-
dba BRMC Home Care
- Home Health Agency
- Brownfield, TX
- NPI 1679612808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381190400000",
"number": "1306287024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 N FOWLER ST",
"city": "HOBBS",
"state": "NM",
"postal_code": "882402312",
"telephone_number": "575-392-2040",
"fax_number": "575-392-6752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 N FOWLER ST",
"city": "HOBBS",
"state": "NM",
"postal_code": "882402312",
"telephone_number": "575-392-2040",
"fax_number": "575-392-6752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "BROCK",
"middle_name": "WADE",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-10",
"last_updated": "2013-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "CNP-02232",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPACT RN LICENSE",
"identifier": "79157",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "CNP-02232",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hobbs, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.