Active NPI
Brittney Maddox
- Midwife
- Marshall, TX
National Provider Identifier
1740681501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MDW200012
- Practice address
- 902 E Pinecrest Dr
Marshall, TX 75670-7310 - Phone
- (317) 272-8295
- NPI assigned
- Sep 11, 2014
- Last updated
- Sep 11, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | MDW200012 | LA | Primary |
| Midwife | 176B00000X | 99208 | TX |
Addresses
Primary practice location
902 E Pinecrest Dr
Marshall, TX 75670-7310
Mailing address
902 E Pinecrest Dr
Marshall, TX 75670-7310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDW200012 | LA | MD | Midwife |
| 99208 | TX | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410393600000",
"number": "1740681501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 E PINECREST DR",
"city": "MARSHALL",
"state": "TX",
"postal_code": "756707310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 E PINECREST DR",
"city": "MARSHALL",
"state": "TX",
"postal_code": "756707310",
"telephone_number": "317-272-8295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDOX",
"first_name": "BRITTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-11",
"last_updated": "2014-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "LA",
"license": "MDW200012",
"primary": true
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "TX",
"license": "99208",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marshall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.