Individual provider Active NPI

Laura K. Prewitt-Buchanan, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Dripping Springs, TX
National Provider Identifier
1366445579
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
H9254 Issued in TX
Practice address
607 Blue Hills Dr
Dripping Springs, TX 78620-3908
Phone
(512) 496-8605
Fax
(512) 892-5071
NPI assigned
May 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X H9254 TX Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X H9254 TX

Addresses

Primary practice location

607 Blue Hills Dr
Dripping Springs, TX 78620-3908

Mailing address

607 Blue Hills Dr
Dripping Springs, TX 78620-3908
Phone (512) 496-8605

Other identifiers 1

IdentifierTypeStateIssuer
116998904MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100812000153 TX Practitioner - Physical Medicine and Rehabilitation 4486788551 Practice locations: Dripping Springs, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Consultants, PA PastSince Jan 28, 2010 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1366445579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 BLUE HILLS DR",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786203908",
            "telephone_number": "512-496-8605",
            "fax_number": "512-892-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 BLUE HILLS DR",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786203908",
            "telephone_number": "512-496-8605",
            "fax_number": "512-892-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREWITT-BUCHANAN",
        "first_name": "LAURA",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "H9254",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "H9254",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116998904",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dripping Springs, TX

Sources for this page

Verify at the official NPI Registry.