Active NPI
Smithville Hospital Authority
Doing business as RiverBend Medical Group
- Pediatrics Physician
- Bastrop, TX
National Provider Identifier
1861449092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- L4729
- Legal business name
- SMITHVILLE HOSPITAL AUTHORITY
- Doing business as
- RiverBend Medical Group
- Practice address
- 441 Highway 71 W
Suite C
Bastrop, TX 78602-3931 - Phone
- (512) 304-0313
- Fax
- (512) 304-0326
- NPI assigned
- May 31, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Grady Hooper, COO
- Title
- Cheif Operating Officer
- Phone
- (512) 237-3214
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K4693 | TX | |
| Pediatrics Physician | 208000000X | L4729 | TX | Primary |
Addresses
Primary practice location
441 Highway 71 W
Suite C
Bastrop, TX 78602-3931
Mailing address
441 Highway 71 W
Suite C
Bastrop, TX 78602-3931
Phone (512) 304-0313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00W129 | Medicaid | TX |
Other names 1
- RiverBend Medical Group
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1861449092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 HIGHWAY 71 W",
"address_2": "SUITE C",
"city": "BASTROP",
"state": "TX",
"postal_code": "786023931",
"telephone_number": "512-304-0313",
"fax_number": "512-304-0326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 HIGHWAY 71 W",
"address_2": "SUITE C",
"city": "BASTROP",
"state": "TX",
"postal_code": "786023931",
"telephone_number": "512-304-0313",
"fax_number": "512-304-0326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMITHVILLE HOSPITAL AUTHORITY",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-31",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "HOOPER",
"authorized_official_first_name": "GRADY",
"authorized_official_title_or_position": "CHEIF OPERATING OFFICER",
"authorized_official_telephone_number": "512-237-3214",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "COO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K4693",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "L4729",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00W129",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RiverBend Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bastrop, TX
- Cole Thomas Smith, D.D.S.
- Jaclyn N. Smith, DDS
- Smithville Hospital Authority (RiverBend Medical Group)
- Smithville Hospital Authority (Bastrop Lost Pines Nursing and Rehabilitation Center)
- Smithville Hospital Authority (Silver Pines Nursing and Rehabilitation Center)
- Pamela Sue Solly, O.D.
- Julie Sorenson
- Chelsea T Speer, PA-C
- James Robert Spinuzza, OD
- Mackenzie Rae Srubar
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.