Active NPI
Gwendolyn J. Allen, MD, PA
- Family Medicine Physician
- Brownwood, TX
National Provider Identifier
1346572880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GWENDOLYN J. ALLEN, MD, PA
- Practice address
- 1604 14TH St
Brownwood, TX 76801-5314 - Phone
- (325) 646-5296
- Fax
- (325) 646-5820
- NPI assigned
- Feb 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gwendolyn Joyce Allen, M.D.
- Title
- Owner
- Phone
- (325) 646-5296
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G4784 | TX | |
| Family Medicine Physician | 207Q00000X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
1604 14TH St
Brownwood, TX 76801-5314
Mailing address
1604 14TH St
Brownwood, TX 76801-5314
Phone (325) 646-5296
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 214607802 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
1604 14th St
Brownwood, TX 76801
Phone (325) 646-5296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622073600000",
"number": "1346572880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 14TH ST",
"city": "BROWNWOOD",
"state": "TX",
"postal_code": "768015314",
"telephone_number": "325-646-5296",
"fax_number": "325-646-5820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 14TH ST",
"city": "BROWNWOOD",
"state": "TX",
"postal_code": "768015314",
"telephone_number": "325-646-5296",
"fax_number": "325-646-5820"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GWENDOLYN J. ALLEN, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-09",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "GWENDOLYN",
"authorized_official_middle_name": "JOYCE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "325-646-5296",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "G4784",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "214607802",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brownwood, TX
- Sara Beth Grotjohn, LCSW
- Rebekah Christine Grube, MSED, ATC, LAT
- Kendra Gruben, CCC-SLP
- Gruenepointe 1 Brownwood, LLC
- William Thomas Gustavus, PHD LPC
- John Franklin Gwin, MD
- Hamilton County Hospital District
- Hamilton County Hospital District
- Hamilton County Hospital District
- Hamilton County Hospital District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.