Organization Active NPI

Brenda J. Hampton, M.D., P.a.

  • Family Medicine Physician
  • Garland, TX
National Provider Identifier
1598967135
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L2922 Issued in TX
Legal business name
BRENDA J. HAMPTON, M.D., P.A.
Practice address
1815 Old Mill Run
Garland, TX 75042-4214
Phone
(972) 530-1582
Fax
(972) 675-4959
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
Dr. Brenda Joyce Hampton, M.D.NPI 1326021072
Title
President
Phone
(972) 530-1582

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X L2922 TX Primary

Addresses

Primary practice location

1815 Old Mill Run
Garland, TX 75042-4214

Mailing address

1815 Old Mill Run
Garland, TX 75042-4214
Phone (972) 530-1582

Other identifiers 1

IdentifierTypeStateIssuer
8F0600MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050725000300 TX Part B Supplier - Clinic/Group Practice 1153358882 Receives reassigned benefits from 1 practitioner
Practice locations: Garland, TX

National Provider Directory

National Provider Directory

Locations

1815 Old Mill Run
Garland, TX 75042
Phone (972) 205-9990

7150 N President George Bush Hwy
Ste 203
Garland, TX 75044
Phone (469) 649-9644

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1598967135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 OLD MILL RUN",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750424214",
            "telephone_number": "972-530-1582",
            "fax_number": "972-675-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 OLD MILL RUN",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750424214",
            "telephone_number": "972-530-1582",
            "fax_number": "972-675-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA J. HAMPTON, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "HAMPTON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-530-1582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L2922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8F0600",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.

Verify at the official NPI Registry.