Active NPI
Heart of Texas Foot Care Center, P.a.
- Podiatrist
- Brownwood, TX
National Provider Identifier
1528061793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- HEART OF TEXAS FOOT CARE CENTER, P.A.
- Practice address
- 103 A South Park Dr.
Brownwood, TX 76801 - Phone
- (326) 646-0715
- Fax
- (325) 646-3734
- NPI assigned
- May 23, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bohn Marshall Young, D.P.M.
- Title
- Owner/Physician
- Phone
- (325) 646-0715
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
103 A South Park Dr.
Brownwood, TX 76801
Mailing address
103 A South Park Dr.
Brownwood, TX 76801
Phone (326) 646-0715
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8K2280 | Other | TX | BLUE CROSS & BLUE SHIELD |
| 092724604 | Medicaid | TX | |
| 159094503 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
103 S Park Dr
Ste A
Brownwood, TX 76801
Phone (325) 646-0715
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Brownwood, TX
- NPI 1952468290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1544054400000",
"number": "1528061793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 A SOUTH PARK DR.",
"city": "BROWNWOOD",
"state": "TX",
"postal_code": "76801",
"telephone_number": "326-646-0715",
"fax_number": "325-646-3734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 A SOUTH PARK DR.",
"city": "BROWNWOOD",
"state": "TX",
"postal_code": "76801",
"telephone_number": "326-646-0715",
"fax_number": "325-646-3734"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART OF TEXAS FOOT CARE CENTER, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-23",
"last_updated": "2018-12-06",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "BOHN",
"authorized_official_middle_name": "MARSHALL",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "325-646-0715",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "8K2280",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092724604",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159094503",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brownwood, TX
- Catherine Hawver, PHARM.D.
- Joshua Kenneth Hawver, PHARM.D.
- James Blair Hays, MD
- John William Hays, MD
- Heart of Texas Family Medicine, PA
- Heart of Texas Hearing Centers, Inc. (Heart of Texas Hearing Centers)
- Heart of Texas Internal Medicine Associates, P.a.
- Heart of Texas Outpatient Cataract Center, Inc.
- Heart of Texas Radiology PA
- Heart of Texas Surgical Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.