Active NPI
Bio-Identix, PLLC
Doing business as Balanced Hormones & Health
- Public Health & General Preventive Medicine Physician
- Austin, TX
National Provider Identifier
1578791828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- M1080
- Legal business name
- BIO-IDENTIX, PLLC
- Doing business as
- Balanced Hormones & Health
- Practice address
- 1010 W 9TH St
Austin, TX 78703-4924 - Phone
- (512) 459-4400
- Fax
- (512) 368-2388
- NPI assigned
- Jun 25, 2009
- 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
- Dr. Screven Edgerton, M.D.
- Title
- Medical Director
- Phone
- (512) 459-4400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | M1080 | TX | Primary |
Addresses
Primary practice location
1010 W 9TH St
Austin, TX 78703-4924
Mailing address
1010 W 9TH St
Austin, TX 78703-4924
Phone (512) 459-4400
Other names 1
- Balanced Hormones & Health
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288569600000",
"number": "1578791828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 W 9TH ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787034924",
"telephone_number": "512-459-4400",
"fax_number": "512-368-2388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 W 9TH ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787034924",
"telephone_number": "512-459-4400",
"fax_number": "512-368-2388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIO-IDENTIX, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-25",
"last_updated": "2010-11-01",
"status": "A",
"authorized_official_last_name": "EDGERTON",
"authorized_official_first_name": "SCREVEN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "512-459-4400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "TX",
"license": "M1080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Balanced Hormones & Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.