Organization Active NPI

Park Bend Heal Center

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Austin, TX
National Provider Identifier
1861447062
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
PARK BEND HEAL CENTER
Practice address
2122 Park Bend Dr
Austin, TX 78758-5352
Phone
(512) 836-9777
Fax
(512) 833-9759
NPI assigned
May 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Douglas Howerton
Title
Vice President
Phone
(512) 836-9777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU Primary

Addresses

Primary practice location

2122 Park Bend Dr
Austin, TX 78758-5352

Mailing address

2122 Park Bend Dr
Austin, TX 78758-5352
Phone (512) 836-9777

National Provider Directory

National Provider Directory
Tax ID family
Park Bend Heal Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861447062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 PARK BEND DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585352",
            "telephone_number": "512-836-9777",
            "fax_number": "512-833-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 PARK BEND DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585352",
            "telephone_number": "512-836-9777",
            "fax_number": "512-833-9759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK BEND HEAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOWERTON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "512-836-9777"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "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 Aug 22, 2020; 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.