Organization Active NPI

PWN Remote Care Services, PA

  • General Practice Physician
  • Austin, TX
National Provider Identifier
1861099723
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PWN REMOTE CARE SERVICES, PA
Practice address
823 Congress Ave Ste 1200
Austin, TX 78701-2402
Phone
(888) 362-4321
NPI assigned
Oct 5, 2020
Last updated
Feb 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Brantley Tilman Jolly, MD
Title
President, Secretary, and Treasurer
Phone
(888) 362-4321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

823 Congress Ave Ste 1200
Austin, TX 78701-2402

Mailing address

823 Congress Ave Ste 1200
Austin, TX 78701-2402
Phone (888) 362-4321

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1861099723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 CONGRESS AVE STE 1200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012402",
            "telephone_number": "888-362-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 CONGRESS AVE STE 1200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012402",
            "telephone_number": "888-362-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PWN REMOTE CARE SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "BRANTLEY",
        "authorized_official_middle_name": "TILMAN",
        "authorized_official_title_or_position": "PRESIDENT, SECRETARY, AND TREASURER",
        "authorized_official_telephone_number": "888-362-4321",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.