Organization Active NPI

Brent W Sherwood MD PA

  • Family Medicine Physician
  • Colorado City, TX
National Provider Identifier
1720414147
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BRENT W SHERWOOD MD PA
Practice address
997 W Interstate 20
Colorado City, TX 79512-2685
Phone
(325) 728-2693
Fax
(325) 728-2420
NPI assigned
Sep 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Authorized official

Name
Brent Sherwood, MD
Title
Physician/Owner
Phone
(325) 627-4504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

997 W Interstate 20
Colorado City, TX 79512-2685

Mailing address

PO Box 1111
Colorado City, TX 79512-1111

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564617600000",
    "number": "1720414147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1111",
            "city": "COLORADO CITY",
            "state": "TX",
            "postal_code": "795121111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 W INTERSTATE 20",
            "city": "COLORADO CITY",
            "state": "TX",
            "postal_code": "795122685",
            "telephone_number": "325-728-2693",
            "fax_number": "325-728-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT W SHERWOOD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2019-08-01",
        "status": "A",
        "authorized_official_last_name": "SHERWOOD",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "325-627-4504",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.