NPIMap

Individual provider Active NPI

Mary Gwen Gorman, M.D.

  • Emergency Medicine Physician
  • Aspermont, TX
National Provider Identifier
1710925359
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
H3249 Issued in TX
Practice address
821 N Broadway St
Aspermont, TX 79502-2029
Phone
(940) 988-4366
NPI assigned
Jun 4, 2006
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X H3249 TX Primary

Addresses

Primary practice location

821 N Broadway St
Aspermont, TX 79502-2029

Mailing address

2228 Baugh Rd
Austin, TX 78754-4115
Phone (512) 323-2795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040520000516 TX Practitioner - Emergency MedicinePractitioner - Neurology 4789675547 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical School at San Antonio, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Throckmorton County Memorial HospGroup PAC ID 4082686282, shared by 4 NPIs, 6 clinicians
Stonewall Memorial HospitalGroup PAC ID 1254228919, 9 clinicians

Practice addresses (Care Compare)

802 N Minter Ave
Throckmorton, TX 76483-5357
Phone (940) 849-2151

821 N Broadway St
Aspermont, TX 79502-2029
Phone (940) 989-3551

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Quick Care PLLC CurrentSince Jan 14, 2026 Accepting new patients
Knox County Hospital District Past Accepting new patients
Ascension Seton Past Accepting new patients
Trinity Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Stonewall Memorial Hospital Family Medicine Past Accepting new patients
Knox County Hospital District Past Accepting new patients
Knox County Hospital District Past Accepting new patients
Glen Rose Medical Foundation Inc. Emergency Medicine Past Accepting new patients
Stonewall Memorial Hospital Past Accepting new patients
Smithville Hospital Authority Past Accepting new patients
Glen Rose Medical Foundation Emergency Medicine Past Accepting new patients

Locations

2109 E Denman Ave
Lufkin, TX 75901
Phone (936) 899-7242

Interoperability endpoints

  • Direct secure messaging: mary.gorman@3705.securemail.prognocis.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1710925359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 BAUGH RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787544115",
            "telephone_number": "512-323-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N BROADWAY ST",
            "city": "ASPERMONT",
            "state": "TX",
            "postal_code": "795022029",
            "telephone_number": "940-988-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "MARY",
        "middle_name": "GWEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2023-03-02",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "H3249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aspermont, TX

Sources for this page

Verify at the official NPI Registry.