Individual provider Active NPI

David Clark Kerr, MD

  • Family Medicine Physician
  • Snyder, TX
National Provider Identifier
1396957155
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M6980 Issued in TX
Practice address
1700 Cogdell Blvd
Snyder, TX 79549
Phone
(325) 573-1300
Fax
(325) 574-6944
NPI assigned
May 4, 2007
Last updated
May 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M6980 TX Primary
Obstetrics Physician 207VX0000X M6980 TX

Addresses

Primary practice location

1700 Cogdell Blvd
Snyder, TX 79549

Mailing address

1700 Cogdell Blvd
Snyder, TX 79549-6162
Phone (325) 573-1300

Other identifiers 1

IdentifierTypeStateIssuer
188260703MedicaidTX

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
I20071126000211 TX Practitioner - Family PracticePractitioner - Emergency Medicine 3274621461 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.33 of 100Reported as group
Quality
74.13
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Oct 14, 2023 Accepting new patients
Rolling Plains Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients
Scurry County Hospital District CurrentSince Jul 1, 2025 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Oct 14, 2023 Accepting new patients
Basin Emergency Physicians PLLC CurrentSince Mar 5, 2024 Accepting new patients
Rolling Plains Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients
Covenant Medical Group Family Medicine Past Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1602 Avenue Q
Lubbock, TX 79401
Phone (469) 312-5137

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

1700 Cogdell Blvd
Snyder, TX 79549
Phone (325) 573-6374

1700 Cogdell Blvd
#D
Snyder, TX 79549
Phone (325) 574-7439

200 E Arizona Ave
Sweetwater, TX 79556
Phone (325) 235-1701

201 E Arizona Ave
Sweetwater, TX 79556
Phone (325) 235-1701

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/rolling-5861da2b

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1396957155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 COGDELL BLVD",
            "city": "SNYDER",
            "state": "TX",
            "postal_code": "795496162",
            "telephone_number": "325-573-1300",
            "fax_number": "325-573-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 COGDELL BLVD",
            "city": "SNYDER",
            "state": "TX",
            "postal_code": "79549",
            "telephone_number": "325-573-1300",
            "fax_number": "325-574-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "DAVID",
        "middle_name": "CLARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M6980",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TX",
            "license": "M6980",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188260703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snyder, TX

Sources for this page

Verify at the official NPI Registry.