Individual provider Active NPI

Michael Darin Lyons, D.O.

  • Internal Medicine Physician
  • Brownwood, TX
National Provider Identifier
1760419576
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L0389 Issued in TX
Practice address
109 S Park Dr
Brownwood, TX 76801-5917
Phone
(325) 643-3300
Fax
(325) 641-8714
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X L0389 TX
Internal Medicine Physician 207R00000X L0389 TX Primary

Addresses

Primary practice location

109 S Park Dr
Brownwood, TX 76801-5917

Mailing address

PO Box 520
Brownwood, TX 76804-0520
Phone (325) 643-3300

Other practice location 1

2600 N State Highway 118
Alpine, TX 79830-2002
Phone (432) 837-3447

Other identifiers 1

IdentifierTypeStateIssuer
092500004MedicaidTX

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
I20080114000484 TX Practitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Emergency MedicinePractitioner - Hospitalist 6800896218 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Emergency Medicine CurrentSince May 3, 2019 Accepting new patients
Brewster Emergency Medicine Associates PA Emergency Medicine CurrentSince Jul 24, 2019 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince May 3, 2019 Accepting new patients
Hood Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Brownwood Hospital LP Past Accepting new patients
Complete Emergency Care I LLC Past Accepting new patients

Locations

2600 N State Highway 118
Alpine, TX 79830
Phone (432) 837-0430

720 Hospital Dr
Andrews, TX 79714
Phone (432) 464-2200

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

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

200 S Interstate 35
Pearsall, TX 78061
Phone (888) 250-2326

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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1760419576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768040520",
            "telephone_number": "325-643-3300",
            "fax_number": "325-641-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S PARK DR",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015917",
            "telephone_number": "325-643-3300",
            "fax_number": "325-641-8714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 N State Highway 118",
            "address_purpose": "LOCATION",
            "city": "Alpine",
            "state": "TX",
            "postal_code": "798302002",
            "country_code": "US",
            "telephone_number": "432-837-3447",
            "fax_number": "432-837-0298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYONS",
        "first_name": "MICHAEL",
        "middle_name": "DARIN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L0389",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L0389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092500004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownwood, TX

Sources for this page

Verify at the official NPI Registry.