Organization Active NPI

Medical Arts Clinic of New Braunfels

  • Sports Medicine (Family Medicine) Physician
  • New Braunfels, TX
National Provider Identifier
1558379701
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
J6747 Issued in TX
Legal business name
MEDICAL ARTS CLINIC OF NEW BRAUNFELS
Practice address
264 W Mill St
New Braunfels, TX 78130-7941
Phone
(830) 625-6300
Fax
(830) 625-6308
NPI assigned
Aug 4, 2006
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Brian Wayne Stigall, M.D.NPI 1104834340
Title
President
Phone
(830) 625-6300

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)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X J6747 TX Primary

Addresses

Primary practice location

264 W Mill St
New Braunfels, TX 78130-7941

Mailing address

264 W Mill St
New Braunfels, TX 78130-7941
Phone (830) 625-6300

Other identifiers 4

IdentifierTypeStateIssuer
00919ROtherTXMEDICARE ID
J6747OtherTXLICENSE
8C0650OtherTXBCBS
DD9763OtherTXMEDICARE RAILROAD

National Provider Directory

National Provider Directory
Tax ID family
Medical Arts Clinic of New Braunfels2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

264 W Mill St
New Braunfels, TX 78130
Phone (830) 302-7363

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1558379701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 W MILL ST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307941",
            "telephone_number": "830-625-6300",
            "fax_number": "830-625-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 W MILL ST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307941",
            "telephone_number": "830-625-6300",
            "fax_number": "830-625-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ARTS CLINIC OF NEW BRAUNFELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "STIGALL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-625-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "J6747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "00919R",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "J6747",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8C0650",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DD9763",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.