Individual provider Active NPI

Kirk W Eggleston, M.D.

  • Family Medicine Physician
  • Harker Heights, TX
National Provider Identifier
1396849568
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K9521 Issued in TX
Practice address
201 E Central Texas Expy Ste 200
Harker Heights, TX 76548-2777
Phone
(254) 499-8743
NPI assigned
Sep 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K9521 TX Primary

Addresses

Primary practice location

201 E Central Texas Expy Ste 200
Harker Heights, TX 76548-2777

Mailing address

4070 Stanley Rd Ste 121
Fort Sam Houston, TX 78234-2715
Phone (254) 630-3499

Other practice location 1

590 Medical Center Drive
Fort Cavazos, TX 76544-5060
Phone (254) 630-3499

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181219002602 TX Practitioner - Family Practice 6204011794 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K9521TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coryell County Memorial Hospital Authority Current Accepting new patients
Coryell County Memorial Hospital Authority CurrentSince Jan 7, 2019 Accepting new patients
Coryell County Memorial Hospital Authority CurrentSince Jan 7, 2019 Accepting new patients

Locations

1507 W Main St
Gatesville, TX 76528
Phone (254) 865-8251

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1396849568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 STANLEY RD STE 121",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782342715",
            "telephone_number": "254-630-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E CENTRAL TEXAS EXPY STE 200",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765482777",
            "telephone_number": "254-499-8743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Medical Center Drive",
            "address_purpose": "LOCATION",
            "city": "Fort Cavazos",
            "state": "TX",
            "postal_code": "765445060",
            "country_code": "US",
            "telephone_number": "254-630-3499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGGLESTON",
        "first_name": "KIRK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K9521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

Verify at the official NPI Registry.