Organization Active NPI

Nigalye Medical Clinic, PLLC

  • Internal Medicine Physician
  • Brownwood, TX
National Provider Identifier
1376014712
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NIGALYE MEDICAL CLINIC, PLLC
Practice address
2502 Crockett Dr Ste a
Brownwood, TX 76801-5984
Phone
(325) 642-9198
Fax
(325) 642-9198
NPI assigned
Dec 11, 2018
Last updated
Jan 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Authorized official

Name
Dr. Narendra L Nigalye, MDNPI 1659369056
Title
Owner
Phone
(325) 642-9198

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2502 Crockett Dr Ste a
Brownwood, TX 76801-5984

Mailing address

PO Box 729
Brownwood, TX 76804-0729
Phone (325) 642-9198

Other practice location 1

7153 Highway 279
Brownwood, TX 76801-0010
Phone (325) 642-9198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190107002640 TX Part B Supplier - Clinic/Group Practice 4284970641 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Brownwood, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2192239Nigalye Medical Clinic, PLLC2502 Crockett Dr Suite a, Brownwood, TX 76801Certificate of waiverSep 7, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1376014712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768040729",
            "telephone_number": "325-642-9198",
            "fax_number": "325-642-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 CROCKETT DR STE A",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015984",
            "telephone_number": "325-642-9198",
            "fax_number": "325-642-9198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7153 Highway 279",
            "address_purpose": "LOCATION",
            "city": "Brownwood",
            "state": "TX",
            "postal_code": "768010010",
            "country_code": "US",
            "telephone_number": "325-642-9198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NIGALYE MEDICAL CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "NIGALYE",
        "authorized_official_first_name": "NARENDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-642-9198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.