NPIMap

Organization Active NPI

Brownwood M. D. Anesthesia

  • Anesthesiology Physician
  • Brownwood, TX
National Provider Identifier
1679620405
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
J5616 Issued in TX
Legal business name
BROWNWOOD M. D. ANESTHESIA
Practice address
2222 Highway 377 S
Suite #11
Brownwood, TX 76801-3905
Phone
(325) 643-6100
Fax
(325) 646-9977
NPI assigned
Jan 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Wayde Dirk Miller, M. D.NPI 1093751406
Title
Owner
Phone
(325) 643-6100

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
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X J5616 TX Primary

Addresses

Primary practice location

2222 Highway 377 S
Suite #11
Brownwood, TX 76801-3905

Mailing address

2222 Highway 377 S
Suite #11
Brownwood, TX 76801-3905
Phone (325) 643-6100

National Provider Directory

National Provider Directory

Locations

2222 Highway 377 S
Ste 11
Brownwood, TX 76801
Phone (888) 442-7747

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679620405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 HIGHWAY 377 S",
            "address_2": "SUITE #11",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768013905",
            "telephone_number": "325-643-6100",
            "fax_number": "325-646-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 HIGHWAY 377 S",
            "address_2": "SUITE #11",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768013905",
            "telephone_number": "325-643-6100",
            "fax_number": "325-646-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNWOOD M. D. ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "WAYDE",
        "authorized_official_middle_name": "DIRK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-643-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J5616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.