Individual provider Active NPI

Zachariah Patrick, DO

  • Emergency Medicine Physician
  • Brownwood, TX
National Provider Identifier
1780841742
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
P3951 Issued in TX
Practice address
1501 Burnet Rd
Brownwood, TX 76801-8520
Phone
(325) 649-2180
NPI assigned
May 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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 P3951 TX Primary

Addresses

Primary practice location

1501 Burnet Rd
Brownwood, TX 76801-8520

Mailing address

4413 Berkman Dr Unit a
Austin, TX 78723-4741
Phone (949) 295-9260

Other practice location 1

1086 Franklin St
Johnstown, PA 15905-4256
Phone (814) 534-3745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120822000480 TX Practitioner - Emergency Medicine 8022284231 Reassigns benefits to 3 organizations
I20190517000135 NM Practitioner - Hospitalist 8022284231 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P3951TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Navarro Emergency Physicians PLLC Emergency Medicine CurrentSince Mar 27, 2017 Accepting new patients
Truepartners Northwest Emergency Associates PLLC Emergency Medicine CurrentSince Apr 1, 2017 Accepting new patients
Alteon Health New Mexico LLC Emergency Medicine CurrentSince Apr 8, 2019 Accepting new patients
Midland Emergency Managers PLLC Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients
Pioneer Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Jefferson Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients

Locations

2430 W Pierce St
Carlsbad, NM 88220
Phone (505) 887-4100

5419 N Lovington Hwy
Hobbs, NM 88240
Phone (505) 492-5000

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701
Phone (432) 221-4850

Organizations & group practices 7

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": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1780841742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 BERKMAN DR UNIT A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787234741",
            "telephone_number": "949-295-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BURNET RD",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768018520",
            "telephone_number": "325-649-2180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1086 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159054256",
            "country_code": "US",
            "telephone_number": "814-534-3745",
            "fax_number": "814-534-5677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "ZACHARIAH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P3951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownwood, TX

Sources for this page

Verify at the official NPI Registry.