Austin Brodie Medical Center

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

License

160104 Issued in TX

Legal business name

AUSTIN BRODIE MEDICAL CENTER

Doing business as

First Choice Emergency Room

Practice address

9312 Brodie LN
Austin, TX 78748-5176

Phone

(972) 899-6666

Fax

(972) 899-5954

NPI assigned

Jun 27, 2013

Last updated

May 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tim Fielding

Title

Cfo

Phone

(972) 899-6650

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• First Choice Emergency Room Doing business as

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1477993046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840795",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840795",
            "telephone_number": "972-899-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9312 BRODIE LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485176",
            "telephone_number": "972-899-6666",
            "fax_number": "972-899-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN BRODIE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-27",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "FIELDING",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "972-899-6650"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "TX",
            "license": "160104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JCAHO",
            "identifier": "434148",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Choice Emergency Room",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Emergency Care Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.