Active NPI
Brownwood Renal Care Center, Inc
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Brownwood, TX
National Provider Identifier
1356335012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 006914
- Legal business name
- BROWNWOOD RENAL CARE CENTER, INC
- Practice address
- 110 S Park Dr
Brownwood, TX 76801-5918 - Phone
- (325) 646-9510
- NPI assigned
- Sep 8, 2005
- Last updated
- Feb 3, 2012
- 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
- Dr. Steve F Montoya Jr., M.D.
- Title
- Ceo
- Phone
- (325) 653-6773
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 006914 | TX | Primary |
Addresses
Primary practice location
110 S Park Dr
Brownwood, TX 76801-5918
Mailing address
136 E Concho Ave
San Angelo, TX 76903-5947
Phone (325) 653-6773
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HH6154 | Other | TX | BCBS |
| 094259101 | Medicaid | TX | |
| 094259102 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Nephrology Physician
- San Angelo, TX
- NPI 1699770313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328227200000",
"number": "1356335012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 E CONCHO AVE",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769035947",
"telephone_number": "325-653-6773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S PARK DR",
"city": "BROWNWOOD",
"state": "TX",
"postal_code": "768015918",
"telephone_number": "325-646-9510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROWNWOOD RENAL CARE CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-08",
"last_updated": "2012-02-03",
"status": "A",
"authorized_official_last_name": "MONTOYA",
"authorized_official_first_name": "STEVE",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "325-653-6773",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "TX",
"license": "006914",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "HH6154",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "094259101",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "094259102",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brownwood, TX
- Brownwood Nursing and Rehabilitation LP
- Brownwood Opco I LLC
- Brownwood Operations I. LTD. (Songbird Lodge)
- Brownwood Orthopedics, PA
- Brownwood Physician Associates, P.a.
- Brownwood SCC LLC (Abri at Brownwood)
- Brownwood Smilecrafters, PLLC
- Brownwood Specialty Group, PA (Brownwood Specialty Group)
- Brownwood TX Dental PLLC (Apple Dentistry)
- Brownwood Urgent Care Family Practice
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.