Individual provider Active NPI

Brian Matthew Powell, P.A.

  • Medical Physician Assistant
  • Harker Heights, TX
National Provider Identifier
1437371663
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA01547 Issued in TX
Practice address
740 S Amy LN
Ste 101
Harker Heights, TX 76548-1343
Phone
(254) 699-8521
Fax
(254) 699-8528
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA01547 TX Primary

Addresses

Primary practice location

740 S Amy LN
Ste 101
Harker Heights, TX 76548-1343

Mailing address

3802 Caravelle Pkwy
Apt. 1515
Corpus Christi, TX 78415-3522
Phone (361) 876-9544

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110419000920 TX Practitioner - Physician Assistant 5395920243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Medical Branch at Galveston, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians

Practice addresses (Care Compare)

11811 Blanco Rd
San Antonio, TX 78216-2407
Phone (210) 341-5588

23611W Interstate 10
San Antonio, TX 78257-1694
Phone (210) 698-6617

426 Singing Oaks
Spring Branch, TX 78070-6508
Phone (830) 632-5740

6530 W Loop 1604
San Antonio, TX 78254-6319
Phone (210) 476-5577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA01547TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Provider Group PLLC CurrentSince May 19, 2021 Accepting new patients
TMC Provider Group PLLC CurrentSince May 19, 2021 Accepting new patients
Texan Urgent Care PLLC PastSince May 1, 2012 Accepting new patients
Bola Elemuren MD. PA PastSince Nov 1, 2002 Accepting new patients
St. David'S Carenow Urgent Care PLLC Past Accepting new patients
Freedom Urgent Care PLLC PastSince Jan 29, 2023 Accepting new patients

Locations

23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

Organizations & group practices 7

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1437371663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 CARAVELLE PKWY",
            "address_2": "APT. 1515",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784153522",
            "telephone_number": "361-876-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S AMY LN",
            "address_2": "STE 101",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481343",
            "telephone_number": "254-699-8521",
            "fax_number": "254-699-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "BRIAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA01547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

Verify at the official NPI Registry.