North Austin Family Medicine, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K7990 Issued in TX

Legal business name

NORTH AUSTIN FAMILY MEDICINE, PA

Practice address

11671 Jollyville Rd
Suite 203
Austin, TX 78759-4139

Phone

(512) 338-5150

Fax

(512) 338-5155

NPI assigned

May 21, 2007

Last updated

May 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Bangston, M.D.NPI 1457361800

Title

President

Phone

(512) 338-5150

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• John Francis Bangston Jr., M.D.

  • Family Medicine Physician
  • Austin, TX
  • NPI 1457361800
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1710196332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11671 JOLLYVILLE RD",
            "address_2": "SUITE 203",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594139",
            "telephone_number": "512-338-5150",
            "fax_number": "512-338-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11671 JOLLYVILLE RD",
            "address_2": "SUITE 203",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594139",
            "telephone_number": "512-338-5150",
            "fax_number": "512-338-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH AUSTIN FAMILY MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "BANGSTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-338-5150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8A2720",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nikki Norris
• North Austin Allergy and Wellness LLC
• North Austin Chiropractic Clinic
• North Austin Community Resources Inc
• North Austin Counseling and Evaluation. PLLC
• North Austin Obstetrics & Gynecology PA (ObGyn North)
• North Austin Optical
• North Austin Pediatric Dental, PLLC (Lone Star Pediatric Dental)
• North Austin Premier Sleep Center LP (North Austin Premier Sleep Center)
• North Austin Surgery Center, L.P.

• Family Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.