NPIMap

Organization Active NPI

Courtyard Primary Care & Medical Spa,PA

  • Primary Care Clinic/Center
  • Midland, TX
National Provider Identifier
1639329949
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
K5608 Issued in TX
Legal business name
COURTYARD PRIMARY CARE & MEDICAL SPA,PA
Practice address
4410 N Midkiff Rd Ste D6
Midland, TX 79705-4249
Phone
(432) 689-6000
Fax
(432) 689-6003
NPI assigned
Sep 23, 2008
Last updated
Oct 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Authorized official

Name
Dr. Edwin Brady Locke, MDNPI 1578574729
Title
Ceo/Owner
Phone
(432) 699-2370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X K5608 TX Primary

Addresses

Primary practice location

4410 N Midkiff Rd Ste D6
Midland, TX 79705-4249

Mailing address

4410 N Midkiff Rd Ste D6
Midland, TX 79705-4249
Phone (432) 689-6000

National Provider Directory

National Provider Directory

Locations

4410 N Midkiff Rd
Ste D6
Midland, TX 79705
Phone (432) 689-6000

Practitioners & affiliated clinicians

Practitioners 6

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": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1639329949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 N MIDKIFF RD STE D6",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797054249",
            "telephone_number": "432-689-6000",
            "fax_number": "432-689-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 N MIDKIFF RD STE D6",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797054249",
            "telephone_number": "432-689-6000",
            "fax_number": "432-689-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTYARD PRIMARY CARE & MEDICAL SPA,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "LOCKE",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "BRADY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "432-699-2370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "K5608",
            "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 Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.