Individual provider Active NPI

Kevin Melgren

  • Family Medicine Physician
  • Eastland, TX
National Provider Identifier
1609262989
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R0449 Issued in TX
Practice address
304 S Daugherty Ave
Eastland, TX 76448-2609
Phone
(254) 629-2601
NPI assigned
Apr 13, 2015
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TX
Family Medicine Physician 207Q00000X R0449 TX Primary

Addresses

Primary practice location

304 S Daugherty Ave
Eastland, TX 76448-2609

Mailing address

1602 Avenue Q
Lubbock, TX 79401-4732
Phone (888) 264-0330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170304000018 TX Practitioner - Family PracticePractitioner - Emergency Medicine 6800170150 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Texas Medical Branch at Galveston, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Practice addresses (Care Compare)

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (940) 325-7891

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Jan 23, 2017 Accepting new patients
Somervell County Hospital District Current Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Jan 23, 2017 Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

304 S Daugherty Ave
Eastland, TX 76448
Phone (254) 629-2601

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1602 Avenue Q
Lubbock, TX 79401
Phone (469) 312-5137

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Interoperability endpoints

  • Direct secure messaging: kevin.melgren.1@13131.direct.athenahealth.com
  • Direct secure messaging: kevinmelgren@grmf.medalliesdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1609262989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 AVENUE Q",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794014732",
            "telephone_number": "888-264-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S DAUGHERTY AVE",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764482609",
            "telephone_number": "254-629-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELGREN",
        "first_name": "KEVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R0449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastland, TX

Sources for this page

Verify at the official NPI Registry.