Organization Active NPI

Foot and Ankle Center of West Texas PA

  • Podiatrist
  • Midland, TX
National Provider Identifier
1619903184
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1704 Issued in TX
Legal business name
FOOT AND ANKLE CENTER OF WEST TEXAS PA
Practice address
705 W Wadley Ave Ste 200
Midland, TX 79705-5370
Phone
(432) 682-0222
Fax
(432) 682-0242
NPI assigned
Jun 24, 2006
Last updated
May 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Brian Middlebrook, DPMNPI 1932106598
Title
Podiatrist/Owner
Phone
(432) 682-0222

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 1704 TX Primary

Addresses

Primary practice location

705 W Wadley Ave Ste 200
Midland, TX 79705-5370

Mailing address

705 W Wadley Ave Ste 200
Midland, TX 79705-5370
Phone (432) 682-0222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061025000637 TX Part B Supplier - Clinic/Group Practice 6901803402 Receives reassigned benefits from 1 practitioner
Practice locations: Midland, TX

National Provider Directory

National Provider Directory

Locations

2407 W Louisiana Ave
Ste 103
Midland, TX 79701
Phone (432) 682-0222

2407 W Louisiana Ave
Ste 110
Midland, TX 79701
Phone (432) 570-4400

705 W Wadley Ave
Ste 200
Midland, TX 79705
Phone (432) 682-0222

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.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1619903184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 W WADLEY AVE STE 200",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797055370",
            "telephone_number": "432-682-0222",
            "fax_number": "324-682-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W WADLEY AVE STE 200",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797055370",
            "telephone_number": "432-682-0222",
            "fax_number": "432-682-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE CENTER OF WEST TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "MIDDLEBROOK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "432-682-0222",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.