Individual provider Active NPI

Brad Richard Baker, MD

  • Family Medicine Physician
  • San Angelo, TX
National Provider Identifier
1760460422
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H2227 Issued in TX
Practice address
1610 South Chadbourne
San Angelo, TX 76903-8510
Phone
(325) 658-5339
Fax
(325) 659-8534
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H2227 TX Primary

Addresses

Primary practice location

1610 South Chadbourne
San Angelo, TX 76903-8510

Mailing address

1610 South Chadbourne
San Angelo, TX 76903-8510
Phone (325) 658-5339

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
I20051026000758 TX Practitioner - Family Practice 7618994922 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission CurrentSince Sep 1, 2017 Accepting new patients
Health and Human Services Commission CurrentSince Sep 1, 2017 Accepting new patients
Lecelt, Inc CurrentSince Jul 16, 2017 Accepting new patients

Locations

11640 US Highway 87 N
Carlsbad, TX 76934
Phone (325) 465-2312

1401 S Rangerville Rd
Harlingen, TX 78552
Phone (956) 364-8000

1401 S Rangerville Rd
#R
Harlingen, TX 78552
Phone (956) 364-8000

2133 Office Park Dr
#A
San Angelo, TX 76904
Phone (325) 703-6670

3371 Knickerbocker Rd
#236
San Angelo, TX 76904

Organizations & group practices 3

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1760460422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 SOUTH CHADBOURNE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769038510",
            "telephone_number": "325-658-5339",
            "fax_number": "325-659-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 SOUTH CHADBOURNE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769038510",
            "telephone_number": "325-658-5339",
            "fax_number": "325-659-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "BRAD",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H2227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.