Active NPI
Brenda D Owens, MD
- Family Medicine Physician
- San Angelo, TX
National Provider Identifier
1801915509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H4593
- Practice address
- 3016 Vista del Arroyo Dr
San Angelo, TX 76904-6146 - Phone
- (325) 658-1511
- NPI assigned
- Mar 27, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H4593 | TX | Primary |
Addresses
Primary practice location
3016 Vista del Arroyo Dr
San Angelo, TX 76904-6146
Mailing address
PO Box 22000
San Angelo, TX 76902-7200
Phone (325) 658-1511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032170504 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250618004033 | TX | Order and Referring Only - Family Practice | 1951376953 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.63 of 100
- Quality
- 78.21
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 67.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H4593 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro San Vicente | Past | Accepting new patients | |
| Shannon Clinic | Past | Accepting new patients | |
| Family & Children'S Clinic, PA | Past | Accepting new patients | |
| Shannon Clinic | Past | Accepting new patients |
Interoperability endpoints
- bowens8563@shannonhealth.direct-ci.com
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- San Elizario, TX
- NPI 1780761452
-
- Pediatrics Physician
- Harker Heights, TX
- NPI 1417095639
-
- Rural Health Clinic/Center
- Sweetwater, TX
- NPI 1093051401
-
- Rural Health Clinic/Center
- Ozona, TX
- NPI 1245230465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332892800000",
"number": "1801915509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22000",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769027200",
"telephone_number": "325-658-1511",
"fax_number": "325-481-2104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3016 VISTA DEL ARROYO DR",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769046146",
"telephone_number": "325-658-1511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "BRENDA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2012-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "H4593",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "032170504",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.