Organization Active NPI

Dr. Farrell Family Practice

  • Urgent Care Clinic/Center
  • East Bernard, TX
National Provider Identifier
1396176608
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
F-1539 Issued in TX
Legal business name
DR. FARRELL FAMILY PRACTICE
Practice address
1007 Phillips Cir
East Bernard, TX 77435-8450
Phone
(979) 257-8193
Fax
(979) 335-4185
NPI assigned
Dec 12, 2013
Last updated
Dec 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Authorized official

Name
Robert Michael Farrell, M.D.NPI 1598148397
Title
Physician
Phone
(979) 257-8193

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
Urgent Care Clinic/Center 261QU0200X F-1539 TX Primary

Addresses

Primary practice location

1007 Phillips Cir
East Bernard, TX 77435-8450

Mailing address

1007 Phillips Cir
East Bernard, TX 77435-8450
Phone (979) 257-8193

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1396176608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 PHILLIPS CIR",
            "city": "EAST BERNARD",
            "state": "TX",
            "postal_code": "774358450",
            "telephone_number": "979-257-8193",
            "fax_number": "979-335-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 PHILLIPS CIR",
            "city": "EAST BERNARD",
            "state": "TX",
            "postal_code": "774358450",
            "telephone_number": "979-257-8193",
            "fax_number": "979-335-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. FARRELL FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "979-257-8193",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "F-1539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Bernard, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.