Primary Physicians of Austin, P.a.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

K3988 Issued in TX

Legal business name

PRIMARY PHYSICIANS OF AUSTIN, P.A.

Practice address

4301 Burnet Rd
Suite a
Austin, TX 78756-3317

Phone

(512) 380-9441

Fax

(512) 380-9410

NPI assigned

Dec 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Craig Tobias Berent, M.D.

Title

President

Phone

(512) 380-9441

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Butler

  • Family Medicine Physician
  • Austin, TX
  • NPI 1295703254
  NPD (past)
• Susan G Quinn, OD

  • Optometrist
  • Athens, OH
  • NPI 1720048770
  NPD (past)

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1366508418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 BURNET ROAD",
            "address_2": "SUITE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563317",
            "telephone_number": "512-380-9441",
            "fax_number": "512-380-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 BURNET RD",
            "address_2": "SUITE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563317",
            "telephone_number": "512-380-9441",
            "fax_number": "512-380-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY PHYSICIANS OF AUSTIN, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-30",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "BERENT",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "TOBIAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-380-9441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "K3988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143675001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP #",
            "identifier": "0020EV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashlynn Priest
• Kedra S Priest
• Michelle Priest, FNP-CNP
• Diana Isabel Prieto, M.D.
• Sophia Grace Prill
• Prime Care Seven, LLC
• Prime Care Seven, LLC
• Prime Kidney Stone Treatment, Inc
• Prime Med Group TX LLC
• Prime Star Home Health of Central Texas, Inc.

• Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.