Organization Active NPI

Travis W. Hird, M.D. PA

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Shenandoah, TX
National Provider Identifier
1376723833
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
L5767 Issued in TX
Legal business name
TRAVIS W. HIRD, M.D. PA
Practice address
117 Vision Park Blvd
Shenandoah, TX 77384-3001
Phone
(936) 443-8460
Fax
(866) 936-4875
NPI assigned
Nov 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Dr. Travis William Hird, M.D.NPI 1265424980
Title
Owner/Provider
Phone
(832) 368-4232

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
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081S0010X L5767 TX Primary

Addresses

Primary practice location

117 Vision Park Blvd
Shenandoah, TX 77384-3001

Mailing address

P.O. Box 9763
Spring, TX 77387-6763
Phone (832) 368-4232

Other identifiers 2

IdentifierTypeStateIssuer
160313601MedicaidTX
160316901MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050826000740 TX Part B Supplier - Clinic/Group Practice 4587695747 Receives reassigned benefits from 5 practitioners
Practice locations: Shenandoah, TX

National Provider Directory

National Provider Directory

Locations

1500 Grand Lake Dr
Conroe, TX 77304
Phone (866) 480-0480

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1376723833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 9763",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773876763",
            "telephone_number": "832-368-4232",
            "fax_number": "866-936-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 VISION PARK BLVD",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843001",
            "telephone_number": "936-443-8460",
            "fax_number": "866-936-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS W. HIRD, M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "HIRD",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "832-368-4232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TX",
            "license": "L5767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160313601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160316901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.