NPIMap

Organization Active NPI

Kenneth B. Hudspeth M.D.

Doing business as Wimberley Medical Clinic

  • Primary Care Clinic/Center
  • Wimberley, TX
National Provider Identifier
1336292382
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
D9503 Issued in TX
Legal business name
KENNETH B. HUDSPETH M.D.
Doing business as
Wimberley Medical Clinic
Practice address
12941 Ranch Road 12
Wimberley, TX 78676-5218
Phone
(512) 847-6789
Fax
(512) 847-7968
NPI assigned
Jan 20, 2007
Last updated
Jan 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Dr. Kenneth Hudspeth, M.D.NPI 1285632075
Title
President
Phone
(512) 847-6789

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X D9503 TX Primary

Addresses

Primary practice location

12941 Ranch Road 12
Wimberley, TX 78676-5218

Mailing address

12941 Ranch Road 12
P.O. Box 2070
Wimberley, TX 78676-5218
Phone (512) 847-6789

Other names 1

  • Wimberley Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1336292382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12941 RANCH ROAD 12",
            "address_2": "P.O. BOX 2070",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786765218",
            "telephone_number": "512-847-6789",
            "fax_number": "512-847-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12941 RANCH ROAD 12",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786765218",
            "telephone_number": "512-847-6789",
            "fax_number": "512-847-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH B. HUDSPETH M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-20",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "HUDSPETH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-847-6789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "D9503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wimberley Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wimberley, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.