Big Bend Medical Group
Organization Active NPI Surgery Physician · Big Spring, TX
NPI 1811973282 · NPPES record last updated May 19, 2026
Key facts
- NPI
- 1811973282
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- BIG BEND MEDICAL GROUP
- Practice address
- 1501 W 11TH PL Ste 100
Big Spring, TX 79720-4122 - Phone
- (432) 263-6018
- NPI assigned
- Dec 19, 2005
- Organization subpart
- No
Authorized official
- Name
- Laura J Fey
- Title
- VP Physician Services Financial Ops
- Phone
- (615) 221-3641
Practitioners 146
-
Madhava Agusala, M.D.
-
Vasantha Agusala, M.D
-
Greg W Anderson, FNP
-
Scott Wade Barclay, D.O.
-
Leslie A Berry, FNP
-
Candy Bowen, APRN, AG-ACNP-BC
-
Shannon Lee Campbell, AGACNP-BC
-
Bonnie C Carter, MD
-
Joseph Edward Chavez, M.D
-
Khavar J Dar, MD
-
Suhail Sami Daye, M.D.
-
Nancy L Eriksen, M.D.
-
Ahmed Hassan, MD
-
Kevin Huang, MD
-
Imran A Khan, MD
-
Anjaiah Kodityal, MD
-
Belinda Morha, APRN
-
Jayaram Naidu, MD
-
Raja Naidu, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2321729 | Big Bend Medical Group Dba Scenic MTN Medical | Certificate of waiver | Apr 7, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031120000933 | TX | Part B Supplier - Clinic/Group Practice | 2163326281 |
Receives reassigned benefits from 97 practitioners Practice locations: Monahans, TX; Odessa, TX; Pecos, TX; Presidio, TX; Snyder, TX; Fort Stockton, TX; Big Spring, TX; Andrews, TX… |
National Provider Directory
Locations
910 S Main St
Big Spring, TX 79720
Phone (423) 714-4650
1501 W 11th Pl
Ste 206
Big Spring, TX 79720
Phone (432) 264-6361
1501 W 11th Pl
Ste 303
Big Spring, TX 79720
1501 W 11th Pl
Ste 102
Big Spring, TX 79720
Phone (432) 263-6018
1501 W 11th Pl
Ste 305
Big Spring, TX 79720
Phone (432) 268-5310
1608 W FM 700
Ste C
Big Spring, TX 79720
Phone (432) 263-7700
387 W Interstate 10
Ste B
Fort Stockton, TX 79735
4911 Andrews Hwy
Ste A
Midland, TX 79703
Phone (432) 689-0210
500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000
420 E 6th St
Ste 202
Odessa, TX 79761
Phone (214) 648-9618
4911 Andrews Hwy
Ste A
Odessa, TX 79762
605 E 4th St
Ste 203
Odessa, TX 79761
Phone (432) 614-6950
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | |||
| Family Medicine Physician |
207Q00000X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Pediatrics Physician |
208000000X | |||
| Diagnostic Radiology Physician |
2085R0202X | |||
| Surgery Physician |
208600000X | Yes | ||
| Certified Registered Nurse Anesthetist |
367500000X |
Addresses
Primary practice location
1501 W 11TH PL Ste 100
Big Spring, TX 79720-4122
Mailing address
PO Box 5009
Brentwood, TN 37024-5009
Phone (615) 221-1400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0047ER | Other | TX | BCBS |
| 092556201 | Medicaid | TX | |
| 092556202 | Medicaid | TX |
Other names
- FAMILY MEDICAL CENTER
Other providers in Big Spring, TX
- Jennifer Rene Berrigan
- Carla Denise Berry
- Leslie A Berry
- Best Home Care LP
- Big Bend Medical Group
- Big Spring
- Big Spring Back Rehab & Wellness
- Big Spring Back Rehab and Wellness
- Big Spring Correctional Center
- Big Spring Hospital Corporation
All providers in Big Spring, TX · Surgery Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.