Individual provider Active NPI

Kirby Jo Brown, APRN, MSN, FNP-C

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1619617206
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1073176 Issued in TX
Practice address
4410 Medical Dr Ste 610
San Antonio, TX 78229-3755
Phone
(210) 614-2453
NPI assigned
Mar 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1073176 TX Primary
Family Medicine Physician 207Q00000X 1073176 TX
Family Nurse Practitioner 363LF0000X 1073176 TX

Addresses

Primary practice location

4410 Medical Dr Ste 610
San Antonio, TX 78229-3755

Mailing address

4410 Medical Dr Ste 610
San Antonio, TX 78229-3755
Phone (210) 614-2453

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220610002288 TX Practitioner - Nurse Practitioner 0648658161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ramon G. Reyes, MD PAGroup PAC ID 1759809882, 5 clinicians

Practice addresses (Care Compare)

1201 S Main St
Suite 114
Boerne, TX 78006-2838
Phone (830) 307-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1073176TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ramon G. Reyes, MD PA Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Texas Healthnet Medical Clinic LTD. Family Medicine CurrentSince Jun 6, 2022 Accepting new patients

Locations

1201 S Main St
Ste 114
Boerne, TX 78006
Phone (830) 307-1200

12730 W Interstate 10
Ste 306
San Antonio, TX 78230
Phone (210) 877-0772

8930 Fourwinds Dr
Ste 101
Windcrest, TX 78239
Phone (210) 495-8788

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1619617206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 MEDICAL DR STE 610",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293755",
            "telephone_number": "210-614-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 MEDICAL DR STE 610",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293755",
            "telephone_number": "210-614-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KIRBY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "APRN, MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1073176",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "1073176",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1073176",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.