Organization Active NPI

Bio-Identix, PLLC

Doing business as Balanced Hormones & Health

  • Public Health & General Preventive Medicine Physician
  • Austin, TX
National Provider Identifier
1578791828
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
M1080 Issued in TX
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

Updated by the provider on Nov 1, 2010

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)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.