R. Mark Martin, MD PA

Primary specialty

Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X

License

F4248 Issued in TX

Legal business name

R. MARK MARTIN, MD PA

Practice address

2506 Crockett Dr
Brownwood, TX 76801-5900

Phone

(325) 643-3656

Fax

(325) 646-8484

NPI assigned

Feb 17, 2010

Organization subpart

No

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

Authorized official

Name

Ray Martin, MDNPI 1831197300

Title

Owner

Phone

(325) 643-3656

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ray Mark Martin, M.D.

  • Family Medicine Physician
  • Brownwood, TX
  • NPI 1831197300
  Medicare reassignment Care Compare group Authorized official
• Jennifer Nicole Bryan, MD

  • Family Medicine Physician
  • Brownwood, TX
  • NPI 1962106062
  Care Compare group NPD
• Jennifer Dawn Evans, P.A.

  • Medical Physician Assistant
  • Brownwood, TX
  • NPI 1558611152
  NPD (past)

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1447572599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 CROCKETT DR",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015900",
            "telephone_number": "325-643-3656",
            "fax_number": "325-646-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 CROCKETT DR",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015900",
            "telephone_number": "325-643-3656",
            "fax_number": "325-646-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. MARK MARTIN, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-643-3656",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "TX",
            "license": "F4248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis Powell, EMT-I
• Tyler Ray Pruitt
• Glen A. Pu, M.D.
• Terry Vincent Pursley, M.D.
• Michael Allen Qunell, M. ED., LPC
• Crystal Michelle Rae, MS-SLP-CCC
• Tina Rangel, PMHNP-BC, IBCLC
• Marci Larae Reagan
• Redstone Park Assisted Living
• Redstone Park Opco LLC

• Adolescent Medicine (Family Medicine) Physician in Brownwood, TX
• Providers in Brownwood, TX by specialty
• Adolescent Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.