Individual provider Active NPI

Bradon Evan Loya, MD

  • Family Medicine Physician
  • Brownwood, TX
National Provider Identifier
1700377215
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S3230 Issued in TX
Practice address
2371 Crockett Dr Ste 102
Brownwood, TX 76801-5994
Phone
(325) 641-1140
Fax
(325) 641-5039
NPI assigned
May 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TX
Family Medicine Physician 207Q00000X S3230 TX Primary

Addresses

Primary practice location

2371 Crockett Dr Ste 102
Brownwood, TX 76801-5994

Mailing address

2371 Crockett Dr
Ste 102
Brownwood, TX 76801-5994
Phone (806) 743-2757

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200615001811 TX Practitioner - Family PracticePractitioner - Emergency MedicinePractitioner - Hospitalist 9638429707 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine, Hospitalist
Education
Texas Tech University Health Science Center School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lubbock County Hospital DistrictGroup PAC ID 6709028954, 49 clinicians

Practice addresses (Care Compare)

602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 775-8200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Health Urgent Care CurrentSince May 5, 2021 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Apr 24, 2020 Accepting new patients
Hendrick Provider Network Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Hendrick Provider Network CurrentSince Jul 1, 2021 Accepting new patients
Lubbock County Hospital District Family Medicine CurrentSince Oct 7, 2020 Accepting new patients
Lubbock County Hospital District Past Accepting new patients

Locations

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

4424 Buffalo Gap Rd
Abilene, TX 79606
Phone (253) 999-9685

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

300 E Commerce St
Brownwood, TX 76801
Phone (325) 510-3400

2371 Crockett Dr
Ste 102
Brownwood, TX 76801
Phone (325) 641-1140

400 E Commerce St
Brownwood, TX 76801
Phone (325) 510-5418

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

11011 Slide Rd
Lubbock, TX 79424
Phone (806) 743-2584

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1700377215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2371 CROCKETT DR",
            "address_2": "STE 102",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015994",
            "telephone_number": "806-743-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2371 CROCKETT DR STE 102",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015994",
            "telephone_number": "325-641-1140",
            "fax_number": "325-641-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOYA",
        "first_name": "BRADON",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-21",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S3230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownwood, TX

Sources for this page

Verify at the official NPI Registry.