Active NPI
Stanly Barten Heckrodt, MD, D.PH.
- Family Medicine Physician
- Prosper, TX
National Provider Identifier
1619935962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E7420
- Practice address
- 4441 Cotton Belt LN
Prosper, TX 75078-2151 - Phone
- (361) 652-1935
- Fax
- (281) 535-2240
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E7420 | TX | Primary |
Addresses
Primary practice location
4441 Cotton Belt LN
Prosper, TX 75078-2151
Mailing address
4441 Cotton Belt LN
Prosper, TX 75078-2151
Phone (361) 652-1935
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4330606 | Other | TX | AETNA |
| P083Y0706 | Medicaid | TX | |
| 83U07001 | Other | TX | BCBS |
Other names 1
- Stan Heckrodt
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E7420 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pamela D. Morgan | Family Medicine | Current | Accepting new patients |
| Citizens Medical Center County of Victoria | Past | Accepting new patients | |
| First Family Clinic, Inc. | Family Medicine | Past | Accepting new patients |
| Regional Employee Assistance Program Inc | Family Medicine | Past | Accepting new patients |
Locations
3023 Marina Bay Dr
Ste 103
League City, TX 77573
Phone (281) 334-5032
Organizations & group practices 5
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.
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Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768780800000",
"number": "1619935962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4441 COTTON BELT LN",
"city": "PROSPER",
"state": "TX",
"postal_code": "750782151",
"telephone_number": "361-652-1935",
"fax_number": "281-535-2240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4441 COTTON BELT LN",
"city": "PROSPER",
"state": "TX",
"postal_code": "750782151",
"telephone_number": "361-652-1935",
"fax_number": "281-535-2240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HECKRODT",
"first_name": "STANLY",
"middle_name": "BARTEN",
"name_prefix": "Dr.",
"credential": "MD, D.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2026-01-19",
"certification_date": "2026-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "E7420",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4330606",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P083Y0706",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "83U07001",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STAN",
"last_name": "HECKRODT",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Prosper, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.