Organization Active NPI

H R Andersen and Associates

  • Foot & Ankle Surgery Podiatrist
  • Brenham, TX
National Provider Identifier
1336322981
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0312 Issued in TX
Legal business name
H R ANDERSEN AND ASSOCIATES
Practice address
601D Medical Pkwy
Brenham, TX 77833-5412
Phone
(979) 836-1111
Fax
(979) 836-3600
NPI assigned
Dec 6, 2007
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. Harold R Andersen, DPM
Title
Owner
Phone
(979) 836-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0312 TX Primary

Addresses

Primary practice location

601D Medical Pkwy
Brenham, TX 77833-5412

Mailing address

601D Medical Pkwy
Brenham, TX 77833-5412
Phone (979) 836-1111

Other identifiers 1

IdentifierTypeStateIssuer
083695901MedicaidTX

National Provider Directory

National Provider Directory

Locations

601 Medical Pkwy
Ste D
Brenham, TX 77833
Phone (979) 251-7273

Practitioners & affiliated clinicians

Practitioners 2

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": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1336322981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601D MEDICAL PKWY",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335412",
            "telephone_number": "979-836-1111",
            "fax_number": "979-836-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601D MEDICAL PKWY",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335412",
            "telephone_number": "979-836-1111",
            "fax_number": "979-836-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H R ANDERSEN AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-836-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "0312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083695901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brenham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.