Organization Active NPI

Family Practice Associates of Kerrville, PLLC

  • Family Medicine Physician
  • Kerrville, TX
National Provider Identifier
1831630565
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H2802 Issued in TX
Legal business name
FAMILY PRACTICE ASSOCIATES OF KERRVILLE, PLLC
Practice address
220 Wesley Dr
Kerrville, TX 78028-5809
Phone
(830) 896-4711
Fax
(830) 257-0878
NPI assigned
Mar 14, 2017
Organization subpart
Yes
Parent organization
FAMILY PRACTICE ASSOCIATES PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Authorized official

Name
David R Sprouse, MD
Title
Provider/ Owner
Phone
(830) 896-4711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X H2802 TX Primary

Addresses

Primary practice location

220 Wesley Dr
Kerrville, TX 78028-5809

Mailing address

220 Wesley Dr
Kerrville, TX 78028-5809
Phone (830) 896-4711

National Provider Directory

National Provider Directory
Part of
Family Practice Assoc Ekg

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1831630565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 WESLEY DR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285809",
            "telephone_number": "830-896-4711",
            "fax_number": "830-257-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 WESLEY DR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285809",
            "telephone_number": "830-896-4711",
            "fax_number": "830-257-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE ASSOCIATES OF KERRVILLE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY PRACTICE ASSOCIATES PA",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "SPROUSE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PROVIDER/ OWNER",
        "authorized_official_telephone_number": "830-896-4711",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H2802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.