Dominique Christine Brady Foster, MD
Individual provider Active NPI Family Medicine Physician · Plainview, TX
NPI 1417515859 · NPPES record last updated Sep 1, 2022
Key facts
- NPI
- 1417515859
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- T8206 (TX)
- Practice address
- 2222 W 24TH St Unit 10
Plainview, TX 79072-1802 - Phone
- (806) 293-5113
- NPI assigned
- May 31, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Texas Tech University Health Science Center School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Methodist Hospital Plainview Texas
Covenant Medical Group
Practice addresses (Care Compare)
1208 N
27 Covenant Family Medical Clinic
Plainview, TX 79072-3937
Phone (806) 291-5112
2215 Nashville Ave
Lubbock, TX 79410-1105
Phone (806) 725-5844
2601 Dimmitt Rd
Plainview, TX 79072-1833
Phone (806) 296-5531
Hospital & facility affiliations
- Covenant Hospital Plainview
- Covenant Childrens Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220811000593 | TX | Practitioner - Family Practice | 6002148053 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T8206 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group | Family Medicine | Current |
Accepting new patients |
| Covenant Medical Group | Family Medicine | Current |
Accepting new patients |
| Methodist Hospital Plainview Texas | Current |
Accepting new patients | |
| Methodist Hospital Plainview Texas | Current |
Accepting new patients | |
| Methodist Hospital Plainview Texas | Past | Accepting new patients | |
| Methodist Hospital Plainview Texas | Past | Accepting new patients |
Locations
2215 Nashville Ave
Lubbock, TX 79410
Phone (806) 725-5228
3601 4th St
Stop 8143
Lubbock, TX 79430
Phone (806) 743-2757
2222 W 24th St
Unit 10
Plainview, TX 79072
Phone (806) 293-5161
2222 W 24th St
Plainview, TX 79072
Phone (806) 293-5113
2606 Yonkers St
Plainview, TX 79072
Phone (806) 291-5120
1208 N Interstate 27
Plainview, TX 79072
Phone (806) 291-5112
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | T8206 | TX | Yes |
Addresses
Primary practice location
2222 W 24TH St Unit 10
Plainview, TX 79072-1802
Mailing address
2222 W 24TH St Unit 10
Plainview, TX 79072-1802
Phone (806) 293-5113
Other providers in Plainview, TX
- Ernie Van Fields
- Joseph Paul Fikes
- Carlos Andres Flores
- Matthew Lee Flores
- Sandra Flores
- Tara Renee Fox
- Alicia Shannon Frank
- Freedom2Go LLC
- Saul Ramirez Gamboa Jr.
- Carmen B Garcia de Para
All providers in Plainview, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.