Organization Active NPI

Smithville Hospital Authority

Doing business as RiverBend Medical Group

  • Pediatrics Physician
  • Bastrop, TX
National Provider Identifier
1861449092
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L4729 Issued in TX
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00W129MedicaidTX

Other names 1

  • RiverBend Medical Group Doing business as

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.