Active NPI
Central Texas Orthopedic Surgery,P.a.
- Orthopaedic Surgery Physician
- Brownwood, TX
National Provider Identifier
1619078920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- J6662
- Legal business name
- CENTRAL TEXAS ORTHOPEDIC SURGERY,P.A.
- Practice address
- 2510 Crockett Dr
Suite a
Brownwood, TX 76801-5928 - Phone
- (325) 643-5513
- NPI assigned
- Sep 26, 2006
- Last updated
- Jul 22, 2008
- 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
- Mrs. Crescent L Clark
- Title
- Manager
- Phone
- (325) 643-5513
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | J6662 | TX | Primary |
Addresses
Primary practice location
2510 Crockett Dr
Suite a
Brownwood, TX 76801-5928
Mailing address
2510 Crockett Dr
Suite a
Brownwood, TX 76801-5928
Phone (325) 643-5513
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127632105 | Medicaid | TX | |
| 181622100 | Other | TX | DEPT OF LABOR |
| 8X1180 | Other | TX | BLUE CROSS BLUE SHIELD TX |
| 0040AV | Other | TX | BLUE CROSS BLUE SHIELD TX |
| 119756 | Other | TX | SUPERIOR HEALTH PLAN |
National Provider Directory
National Provider DirectoryLocations
2510 Crockett Dr
Ste A
Brownwood, TX 76801
Phone (325) 643-5513
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.
-
- Orthopaedic Surgery Physician
- Orting, WA
- NPI 1265494579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216684800000",
"number": "1619078920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 CROCKETT DR",
"address_2": "SUITE A",
"city": "BROWNWOOD",
"state": "TX",
"postal_code": "768015928",
"telephone_number": "325-643-5513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 CROCKETT DR",
"address_2": "SUITE A",
"city": "BROWNWOOD",
"state": "TX",
"postal_code": "768015928",
"telephone_number": "325-643-5513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL TEXAS ORTHOPEDIC SURGERY,P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2008-07-22",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "CRESCENT",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "325-643-5513",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "J6662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127632105",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "181622100",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TX",
"identifier": "8X1180",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TX",
"identifier": "0040AV",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPERIOR HEALTH PLAN",
"identifier": "119756",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brownwood, TX
- Central Texas MHMR (Center for Life Resources)
- Central Texas MHMR Center (Center for Life Resources)
- Central Texas MHMR Center
- Central Texas MHMR Center (Center for Life Resources)
- Central Texas MHMR Center
- Central Texas Womens Clinic, P.a.
- Sarah R. Chandler, M.D.
- Elmer Lee Chapman, PA
- Children's Hope Residential Services, Inc.
- Delicia Ann Chisholm, ATP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.