Active NPI
Brent Sherwood, M.D.
- Family Medicine Physician
- Colorado City, TX
National Provider Identifier
1366540197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L8191
- Practice address
- 997 W Interstate 20
Colorado City, TX 79512-2685 - Phone
- (325) 728-2693
- Fax
- (325) 728-2420
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L8191 | TX | Primary |
Addresses
Primary practice location
997 W Interstate 20
Colorado City, TX 79512-2685
Mailing address
997 W Interstate 20
Colorado City, TX 79512-2685
Phone (325) 728-2693
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167345104 | Medicaid | TX | |
| 8W2460 | Other | TX | BLUE SHIELD |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Medical Group PLLC | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Current | Accepting new patients | |
| Texas Em-1 Medical Services, PA | Past | Accepting new patients | |
| Emergency Physicians of North Texas PLLC | Past | Accepting new patients | |
| Texas Tech University Health Sciences Center University Associates | Family Medicine | Past | Accepting new patients |
| Texas Emergency Room Services PA | Past | Accepting new patients | |
| Umc Physicians | Family Medicine | Past | Accepting new patients |
| Panhandle Emergency Physicians, P.a. | Past | Accepting new patients |
Locations
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
1 Avenue N
Haskell, TX 79521
Phone (940) 228-4321
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
540 W 15th St
Hereford, TX 79045
Phone (806) 364-2141
Interoperability endpoints
- bwsherwood@directaddress.net
Organizations & group practices 8
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.
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-
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-
- Emergency Medicine Physician
- Amarillo, TX
- NPI 1629020870
-
- Physician Assistant
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-
- Emergency Medicine Physician
- Borger, TX
- NPI 1942250121
-
- Family Medicine Physician
- Lubbock, TX
- NPI 1902832181
-
- Family Medicine Physician
- Lubbock, TX
- NPI 1669418547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452816000000",
"number": "1366540197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "997 W INTERSTATE 20",
"city": "COLORADO CITY",
"state": "TX",
"postal_code": "795122685",
"telephone_number": "325-728-2693",
"fax_number": "325-728-2420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "997 W INTERSTATE 20",
"city": "COLORADO CITY",
"state": "TX",
"postal_code": "795122685",
"telephone_number": "325-728-2693",
"fax_number": "325-728-2420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERWOOD",
"first_name": "BRENT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2016-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L8191",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167345104",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "8W2460",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.