NPIMap

Individual provider Active NPI

Michael J Cloy, PA

  • Physician Assistant
  • Brownwood, TX
National Provider Identifier
1447230263
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA02164 Issued in TX
Practice address
2100 Crockett Dr.
Brownwood, TX 76801-5917
Phone
(325) 646-0704
Fax
(888) 895-1214
NPI assigned
Jan 18, 2006
Last updated
May 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA02164 TX Primary

Addresses

Primary practice location

2100 Crockett Dr.
Brownwood, TX 76801-5917

Mailing address

1100 W. Reynosa Ave.
De Leon, TX 76444
Phone (254) 893-5895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060303000548 TX Practitioner - Physician Assistant 3173539814 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1100 W Reynosa Ave
De Leon, TX 76444-1630
Phone (254) 893-5895

135 River N Blvd
Stephenville, TX 76401-1804
Phone (254) 965-2810

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA02164TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc Physician Assistant CurrentSince Apr 1, 2011 Accepting new patients
Cross Timbers Health Clinics, Inc. CurrentSince Jan 6, 2020 Accepting new patients
Hendrick Provider Network CurrentSince Mar 1, 2017 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Apr 1, 2011 Accepting new patients
Cross Timbers Health Clinics, Inc Past Accepting new patients
Heart of Texas Family Medicine, PA Past Accepting new patients

Locations

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

109 S Park Dr
Brownwood, TX 76801
Phone (325) 643-3300

120 S Park Dr
Ste C
Brownwood, TX 76801
Phone (325) 641-1140

1100 W Reynosa Ave
De Leon, TX 76444
Phone (254) 893-5895

Interoperability endpoints

  • Direct secure messaging: cloym067@yourcarecommunity.org
  • Direct secure messaging: michael.cloy@ahctx.eclinicaldirectplus.com

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1447230263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W. REYNOSA AVE.",
            "city": "DE LEON",
            "state": "TX",
            "postal_code": "76444",
            "telephone_number": "254-893-5895",
            "fax_number": "888-895-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CROCKETT DR.",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015917",
            "telephone_number": "325-646-0704",
            "fax_number": "888-895-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOY",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownwood, TX

Sources for this page

Verify at the official NPI Registry.