Individual provider Active NPI

Justin W Powell, D.O.

  • Pediatrics Physician
  • Hallettsville, TX
National Provider Identifier
1487663191
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
TXBJ8722 Issued in TX
Practice address
147 County Road 129
Hallettsville, TX 77964-5186
Phone
(361) 798-2112
Fax
(361) 798-2112
NPI assigned
Aug 5, 2006
Last updated
Jul 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TXBJ8722 TX
Internal Medicine Physician 207R00000X TXBJ8722 TX
Pediatrics Physician 208000000X TXBJ8722 TX Primary
Emergency Medicine Physician 207P00000X J8722 TX

Addresses

Primary practice location

147 County Road 129
Hallettsville, TX 77964-5186

Mailing address

PO Box 801
Hallettsville, TX 77964-0801
Phone (361) 798-2112

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100706000335 TX Practitioner - Internal MedicinePractitioner - Pediatric Medicine 2264446939 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Fort Worth School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dewitt Medical DistrictGroup PAC ID 3072421395, 32 clinicians
Victoria Hospitalist Associates, LLCGroup PAC ID 6204927122, 39 clinicians

Practice addresses (Care Compare)

2550 N Esplanade
Cuero Community Hospital
Cuero, TX 78954-4736
Phone (361) 275-6191

2550 N Esplanade St
Cuero Regional Hospital
Cuero, TX 77954-4736
Phone (361) 275-6191

506 E San Antonio St
De Tar Navarro Hospital
Victoria, TX 77901-6060
Phone (361) 575-7441

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
J8722TXMDEmergency Medicine Physician
TXBJ8722TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Hospitalist Associates, LLC CurrentSince May 1, 2021 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Aug 17, 2018 Accepting new patients
Ballinger Memorial Hospital District Emergency Medicine Current Accepting new patients
Hendrick Provider Network CurrentSince May 1, 2019 Accepting new patients
Dewitt Medical District Emergency Medicine CurrentSince Jul 19, 2017 Accepting new patients
Hendrick Provider Network Family Medicine CurrentSince May 1, 2019 Accepting new patients
Ballinger Memorial Hospital District CurrentSince Jul 21, 2025 Accepting new patients
Parkside Family Clinic, PA Family Medicine Current Accepting new patients
Texas Emergency Group LLC Emergency Medicine CurrentSince Dec 23, 2017 Accepting new patients
Ballinger Memorial Hospital District CurrentSince Jul 21, 2025 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Aug 17, 2018 Accepting new patients
Southwest Medical Associates, Inc. Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Kocurek and James Clinic, PLLC Family Medicine Past Accepting new patients
Dewitt Medical District Past Accepting new patients
Lavaca Hospital District Past Accepting new patients
Lavaca Hospital District Past Accepting new patients
Lavaca Family Health Clinic Family Medicine Past Accepting new patients
Lavaca Hospital District Past Accepting new patients

Locations

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

5302 Buffalo Gap Rd
Ste 104
Abilene, TX 79606
Phone (325) 307-6226

608 Avenue B
Ballinger, TX 76821
Phone (325) 365-2531

2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532

304 S Daugherty Ave
Eastland, TX 76448
Phone (254) 629-2601

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

113 W Main St
Kenedy, TX 78119
Phone (830) 583-0612

40 East Ave
Schulenburg, TX 78956
Phone (866) 741-3668

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

Interoperability endpoints

  • Direct secure messaging: justin.powell.1@6815.direct.athenahealth.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 1

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1487663191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801",
            "city": "HALLETTSVILLE",
            "state": "TX",
            "postal_code": "779640801",
            "telephone_number": "361-798-2112",
            "fax_number": "361-798-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 COUNTY ROAD 129",
            "city": "HALLETTSVILLE",
            "state": "TX",
            "postal_code": "779645186",
            "telephone_number": "361-798-2112",
            "fax_number": "361-798-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JUSTIN",
        "middle_name": "W",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "TXBJ8722",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "TXBJ8722",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "TXBJ8722",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J8722",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallettsville, TX

Sources for this page

Verify at the official NPI Registry.